Individual
MR. STEVEN BAXTER MEANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2221 UNIVERSITY AVE SE, SUITE 119, MPLS, MN 55414
(612) 378-1909
(612) 378-1909
Mailing address
322 DENTAL SCIENCE BLDG S, IOWA CITY, IA 52242-1001
(319) 335-7440
(319) 335-7451
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8508
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
533018100
MEDICAL ASSISTANCE
MN
Enumeration date
11/29/2006
Last updated
05/27/2021
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