Individual
DR. STEVEN RUSSELL PATTY
Active
Individual
DR. STEVEN RUSSELL PATTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, PA
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
5322
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
328400
TRIGON BCBS INS
CO
01
—
583212
UNITED CONCORDIA INS
PA
05
—
8996674
—
NC
01
—
96674
BLUE CROSS BLUE SHIELD NC
NC
05
—
ZN5322
—
SC
Enumeration date
07/24/2006
Last updated
03/15/2012
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