Provider Demographics
NPI:1972721843
Name:LUDDINGTON, STEPHEN S (DDS, MS)
Entity type:Individual
Prefix:
First Name:STEPHEN
Middle Name:S
Last Name:LUDDINGTON
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2317 N. HILLFIELD RD.
Mailing Address - Street 2:SUITE 105
Mailing Address - City:LAYTON
Mailing Address - State:UT
Mailing Address - Zip Code:84041
Mailing Address - Country:US
Mailing Address - Phone:801-775-8000
Mailing Address - Fax:801-525-8936
Practice Address - Street 1:2317 N. HILLFIELD RD.
Practice Address - Street 2:SUITE 105
Practice Address - City:LAYTON
Practice Address - State:UT
Practice Address - Zip Code:84041
Practice Address - Country:US
Practice Address - Phone:801-775-8000
Practice Address - Fax:801-525-8936
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT267121-99211223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics