Healthcare Provider Details

I. General information

NPI: 1073748513
Provider Name (Legal Business Name): MATTHEW STEUER D.M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/28/2009
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3100 N ACADEMY BLVD STE 213
COLORADO SPRINGS CO
80917-5332
US

IV. Provider business mailing address

1330 CONGRESS ST
PORTLAND ME
04102-2144
US

V. Phone/Fax

Practice location:
  • Phone: 719-597-4060
  • Fax: 719-597-4060
Mailing address:
  • Phone: 207-773-6487
  • Fax: 207-773-7653

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number00202428
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: