Healthcare Provider Details

I. General information

NPI: 1598756124
Provider Name (Legal Business Name): FRANKLIN JAMES STEEN DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: FRANKLIN JAMES STEEN JR. DDS

II. Dates (important events)

Enumeration Date: 11/02/2005
Last Update Date: 06/13/2023
Certification Date: 06/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2442 MOUNDS VIEW BLVD
SAINT PAUL MN
55112-1478
US

IV. Provider business mailing address

2442 MOUNDS VIEW BLVD # 201
SAINT PAUL MN
55112-1478
US

V. Phone/Fax

Practice location:
  • Phone: 763-316-5400
  • Fax: 651-644-4499
Mailing address:
  • Phone: 763-316-5400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number8793
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: