Provider Demographics
NPI:1881623304
Name:CROSS, STEVEN EUGENE (DDS)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:EUGENE
Last Name:CROSS
Suffix:
Gender:M
Credentials:DDS
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Mailing Address - Street 1:5000 BAPTIST HEALTH DRIVE #114
Mailing Address - Street 2:
Mailing Address - City:SCHERTZ
Mailing Address - State:TX
Mailing Address - Zip Code:78154
Mailing Address - Country:US
Mailing Address - Phone:210-566-1114
Mailing Address - Fax:210-566-7460
Practice Address - Street 1:5000 BAPTIST HEALTH DRIVE #114
Practice Address - Street 2:
Practice Address - City:SCHERTZ
Practice Address - State:TX
Practice Address - Zip Code:78154
Practice Address - Country:US
Practice Address - Phone:210-566-1114
Practice Address - Fax:210-566-7460
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2015-08-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX303801223P0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0106XDental ProvidersDentistOral and Maxillofacial Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
420751Medicare PIN