Healthcare Provider Details

I. General information

NPI: 1952515108
Provider Name (Legal Business Name): HERSHELL GENE STEELE D.D.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/09/2007
Last Update Date: 06/26/2024
Certification Date: 06/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27499 RIVERVIEW CENTER BLVD STE 238
BONITA SPRINGS FL
34134-4335
US

IV. Provider business mailing address

25501 TROST BLVD LOT 14-02
BONITA SPRINGS FL
34135-6422
US

V. Phone/Fax

Practice location:
  • Phone: 850-920-7520
  • Fax: 239-345-9079
Mailing address:
  • Phone: 239-980-3620
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN15936
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDN15936
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: