Steven Michael Byrne
Individual provider Active NPI General Practice Dentistry · Lagrange, KY
NPI 1922112796 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1922112796
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 6025 (KY)
- Practice address
- 3108 S Highway 53
Lagrange, KY 40031-9533 - Phone
- (502) 222-1494
- Fax
- (502) 222-5175
- NPI assigned
- Aug 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6025 | KY | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6025 | KY | Yes |
Addresses
Primary practice location
3108 S Highway 53
Lagrange, KY 40031-9533
Mailing address
3108 S Highway 53
Lagrange, KY 40031-9533
Phone (502) 222-1494
Other providers in Lagrange, KY
- Baptist Healthcare System, Inc
- Bio-Medical Applications of Kentucky, Inc.
- Winnie C Boling
- Cathy M Borders
- Karen Butterfield
- Zachary Byrne
- Cardiac Care Center of Louisville, PLLC
- Mark Allen Clark
- Lisa Conti
- Janet L Cox
All providers in Lagrange, KY · General Practice Dentistry in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.