Healthcare Provider Details
I. General information
NPI: 1760584106
Provider Name (Legal Business Name): HOWARD M STEINBERG DMD MDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 09/05/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2385 N FERGUSON AVE STE 111
TUCSON AZ
85712
US
IV. Provider business mailing address
2385 N FERGUSON AVE STE 111
TUCSON AZ
85712
US
V. Phone/Fax
- Phone: 520-886-3030
- Fax: 520-290-2534
- Phone: 520-886-3030
- Fax: 520-290-2534
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1223P0700X |
| Taxonomy | Prosthodontics |
| License Number | 2976 |
| License Number State | AZ |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: