Individual
STEVEN GILLEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
ROUTE 19, NORTHGATE PLAZA, WASHINGTON, PA 15301
(724) 223-0750
(724) 223-8761
Mailing address
926 GREAT POND DR, SUITE 2003, ALTAMONTE SPRINGS, FL 32714-7244
(407) 772-5124
(407) 788-3572
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS028891
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014570640004
—
PA
05
—
0014570640006
—
PA
05
—
0014570640008
—
PA
05
—
0014570640009
—
PA
05
—
0014570640010
—
PA
05
—
0014570640011
—
PA
05
—
0014570640014
—
PA
05
—
0014570640016
—
PA
05
—
0014570640017
—
PA
05
—
0014570640018
—
PA
05
—
0014570640019
—
PA
05
—
0014570640020
—
PA
05
—
0014570640021
—
PA
Enumeration date
04/05/2006
Last updated
07/09/2007
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