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NPI 1336450410

NPI 1336450410 : BRIAN MATHEW STEELE DDS : NEW BOSTON, TX

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General NPI Number Information
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    NPI Number           |    1336450410
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    Entity Type          |    Individual 
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    Provider Name        |    BRIAN MATHEW STEELE DDS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/23/2010
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    Last Update Date     |    03/26/2025
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Provider Practice Location Address
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    Address Line         |    112 W US HIGHWAY 82 
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    City                 |    NEW BOSTON
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    State                |    TX
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    Zip                  |    75570-2804
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    Country              |    US
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    Telephone            |    903-628-5437
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    Fax                  |    903-628-0270
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Provider Business Mailing Address
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    Address Line         |    112 W US HIGHWAY 82 
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    City                 |    NEW BOSTON
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    State                |    TX
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    Zip                  |    75570-2804
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    Country              |    US
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    Telephone            |    903-628-5437
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    Fax                  |    903-628-0270
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    122300000X
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    Taxonomy Name        |    Dentist
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    License Number       |    25576
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    License Number State |    TX
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Taxonomy #2
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    Taxonomy Code        |    1223P0221X
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    Taxonomy Name        |    Pediatric Dentistry
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    License Number       |    25576
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    License Number State |    TX
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