Steven J Hyten PC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

021.002165 Issued in IL

Legal business name

STEVEN J HYTEN PC

Doing business as

Edwardsville Oral Surgery and Implant Center

Practice address

1005 Plummer Dr
Suite a
Edwardsville, IL 62025-4702

Phone

(618) 656-3100

Fax

(618) 656-3146

NPI assigned

Aug 22, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Steven Joseph Hyten, DMD,MS

Title

Owner

Phone

(618) 656-3100

Specialties & licenses 1

Addresses

Other names 1

• Edwardsville Oral Surgery and Implant Center Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218153600000",
    "number": "1245346097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 PLUMMER DR",
            "address_2": "SUITE A",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620254702",
            "telephone_number": "618-656-3100",
            "fax_number": "618-656-3146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 PLUMMER DR",
            "address_2": "SUITE A",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620254702",
            "telephone_number": "618-656-3100",
            "fax_number": "618-656-3146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN J HYTEN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2008-08-08",
        "status": "A",
        "authorized_official_last_name": "HYTEN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-656-3100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD,MS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IL",
            "license": "021.002165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Edwardsville Oral Surgery and Implant Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Oral and Maxillofacial Surgery (Dentist) in Edwardsville, IL
• Providers in Edwardsville, IL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.