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NPI Code Detail

MEDICARE: BRIAN STEELE DDS, INC.

MEDICARE: BRIAN STEELE DDS, INC.
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
1305R00000XPreferred Provider Organization54818CA

General Provider Information

NPI Number : 1821480526
Entity Type Code : Organization
Provider Name (Legal Business Name) : BRIAN STEELE DDS, INC.
Provider Business Mailing Address
First Line : 1052 LIVE OAK BLVD
Second Line :
City : YUBA CITY
State : CA
Zip : 95991-3416
Country : US
Telephone Number : 530-671-4784
Fax Number :
Provider Business Practice Location Address
First Line : 1052 LIVE OAK BLVD
Second Line :
City : YUBA CITY
State : CA
Zip : 95991-3416
Country : US
Telephone Number : 530-671-4784
Fax Number :
Authorized Official
Title or Position : DDS/CEO
Name : BRIAN CAMERON STEELE
Credential : DDS
Telephone Number : 530-671-4784
Provider Enumeration Date : 03/04/2015
Last Update Date : 07/16/2015

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