Organization Active NPI

Steven P Teaver DMD PC

  • General Practice Dentistry
  • Lagrange, GA
National Provider Identifier
1336332014
Registry record updated Aug 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8592 Issued in GA
Legal business name
STEVEN P TEAVER DMD PC
Practice address
309 S Lewis St
Lagrange, GA 30240-3168
Phone
(706) 882-8874
Fax
(706) 884-2230
NPI assigned
Aug 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2007

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

Authorized official

Name
Dr. Steven Paul Teaver Sr., DMDNPI 1336235001
Title
President
Phone
(706) 882-8874

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 8592 GA Primary

Addresses

Primary practice location

309 S Lewis St
Lagrange, GA 30240-3168

Mailing address

309 S Lewis St
Lagrange, GA 30240-3168
Phone (706) 882-8874

National Provider Directory

National Provider Directory

Locations

309 S Lewis St
Lagrange, GA 30240
Phone (706) 882-8874

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1188000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188000000000",
    "number": "1336332014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 S LEWIS ST",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302403168",
            "telephone_number": "706-882-8874",
            "fax_number": "706-884-2230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 S LEWIS ST",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302403168",
            "telephone_number": "706-882-8874",
            "fax_number": "706-884-2230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN P TEAVER DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-25",
        "last_updated": "2007-08-25",
        "status": "A",
        "authorized_official_last_name": "TEAVER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-882-8874",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "8592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lagrange, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2007; 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.