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General NPI Number Information
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NPI Number | 1780731216
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Entity Type | Individual
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Provider Name | FRANCIS CHARLES STEYAERT DDS MSD
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Gender | Male
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Dates
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Enumeration Date | 01/05/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | I40 EXIT 102 HALF MI SOUTH ACL HOSPITAL DENTAL CLINIC
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City | SAN FIDEL
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State | NM
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Zip | 87049
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Country | US
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Telephone | 505-552-5310
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Fax | 505-552-5460
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Provider Business Mailing Address
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Address Line | PO BOX 130 ACL INDIAN HOSPITAL ATTN BUS OFFICE
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City | SAN FIDEL
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State | NM
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Zip | 87049
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Country | US
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Telephone | 719-596-2830
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Fax |
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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 | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | HD100444
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License Number State | CO
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