Provider Demographics
NPI:1528287349
Name:NAGY, STEVEN (DMD)
Entity type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:
Last Name:NAGY
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:165 WESTGATE DR
Mailing Address - Street 2:
Mailing Address - City:BROCKTON
Mailing Address - State:MA
Mailing Address - Zip Code:02301-1821
Mailing Address - Country:US
Mailing Address - Phone:617-877-6152
Mailing Address - Fax:315-454-6324
Practice Address - Street 1:165 WESTGATE DR
Practice Address - Street 2:
Practice Address - City:BROCKTON
Practice Address - State:MA
Practice Address - Zip Code:02301-1821
Practice Address - Country:US
Practice Address - Phone:617-877-6152
Practice Address - Fax:315-454-6324
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-24
Last Update Date:2007-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA21713122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist