Healthcare Provider Details

I. General information

NPI: 1790873271
Provider Name (Legal Business Name): MICHAEL EVAN STEINBERG D.D.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/10/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7032 EAST COCHISE SUITE 110
SCOTTSDALE AZ
85253
US

IV. Provider business mailing address

PO BOX 12009 137
SCOTTSDALE AZ
85267
US

V. Phone/Fax

Practice location:
  • Phone: 480-348-1070
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number3771
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: