Individual
DR. STEPHEN C BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5954 HARBOUR PARK DR, MIDLOTHIAN, VA 23112-2163
(804) 739-1600
(804) 739-9035
Mailing address
5954 HARBOUR PARK DR, MIDLOTHIAN, VA 23112-2163
(804) 739-1600
(804) 739-9035
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401411024
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11024
DELTA DENTAL PROVIDER NO.
VA
01
—
182419
ANTHEM PROVIDER NO.
VA
05
—
9179964
—
VA
Enumeration date
10/03/2006
Last updated
06/29/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us