Individual
STEVEN KENT MANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1180 N PRESTON RD STE 20, PROSPER, TX 75078-9291
(801) 404-8296
Mailing address
9018 N SKYVIEW AVE, KANSAS CITY, MO 64154-8501
(801) 404-8296
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
7077
NV
1223P0221X
Pediatric Dentistry
Primary
2020021363
MO
1223P0221X
Pediatric Dentistry
37075
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/14/2017
Last updated
04/21/2021
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