Healthcare Provider Details

I. General information

NPI: 1780515197
Provider Name (Legal Business Name): MARC J STEINGOLD DDS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23350 GRATIOT AVE
EASTPOINTE MI
48021-1643
US

IV. Provider business mailing address

23350 GRATIOT AVE
EASTPOINTE MI
48021-1643
US

V. Phone/Fax

Practice location:
  • Phone: 586-775-1633
  • Fax: 586-775-2912
Mailing address:
  • Phone: 586-775-1633
  • Fax: 586-775-2912

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: MARC STEINGOLD
Title or Position: DENTIST/OWNER
Credential: DDS
Phone: 586-775-1633