MEDICARE: DR. DONALD R. STEFFY DDS

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	34652	CA

General Provider Information

NPI Number	:	1841361110
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DONALD R. STEFFY DDS

Provider Business Mailing Address
First Line	:	1331 MEDICAL CENTER DR
Second Line	:	SUITE H
City	:	ROHNERT PARK
State	:	CA
Zip	:	94928-2900
Country	:	US
Telephone Number	:	707-585-8599
Fax Number	:

Provider Business Practice Location Address
First Line	:	1331 MEDICAL CENTER DR
Second Line	:	SUITE H
City	:	ROHNERT PARK
State	:	CA
Zip	:	94928-2900
Country	:	US
Telephone Number	:	707-585-8599
Fax Number	:

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

Provider Enumeration Date	:	11/10/2006
Last Update Date	:	07/08/2007

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