Provider Demographics
NPI:1699947978
Name:STEVEN AIREY DDS-PA
Entity type:Organization
Organization Name:STEVEN AIREY DDS-PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE ADMINISTRATOR/VP
Authorized Official - Prefix:MRS
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:D
Authorized Official - Last Name:AIREY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-264-9938
Mailing Address - Street 1:166 FURMAN RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:BOONE
Mailing Address - State:NC
Mailing Address - Zip Code:28607-5064
Mailing Address - Country:US
Mailing Address - Phone:828-264-9938
Mailing Address - Fax:
Practice Address - Street 1:166 FURMAN RD
Practice Address - Street 2:SUITE A
Practice Address - City:BOONE
Practice Address - State:NC
Practice Address - Zip Code:28607-5064
Practice Address - Country:US
Practice Address - Phone:828-264-9938
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-27
Last Update Date:2008-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC79121223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7912OtherDDS LICENSE