MEDICARE: DR. ERIC JAMES STEINER D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	2901018622	MI

General Provider Information

NPI Number	:	1629111067
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ERIC JAMES STEINER D.D.S.

Provider Business Mailing Address
First Line	:	889 W MAPLEHURST ST
Second Line	:
City	:	FERNDALE
State	:	MI
Zip	:	48220-1294
Country	:	US
Telephone Number	:	248-259-5217
Fax Number	:

Provider Business Practice Location Address
First Line	:	43664 SCHOENHERR RD
Second Line	:
City	:	STERLING HEIGHTS
State	:	MI
Zip	:	48313-1115
Country	:	US
Telephone Number	:	586-247-9700
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/15/2007
Last Update Date	:	07/08/2007

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