MEDICARE: STEINMETZ PEDIATRIC DENTISTRY, P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223P0221X	Pediatric Dentistry

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053885376
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STEINMETZ PEDIATRIC DENTISTRY, P.C.

Provider Business Mailing Address
First Line	:	411 PLAZA DR STE G
Second Line	:
City	:	COLUMBUS
State	:	IN
Zip	:	47201-2918
Country	:	US
Telephone Number	:	812-373-5437
Fax Number	:	812-373-7678

Provider Business Practice Location Address
First Line	:	411 PLAZA DR STE G
Second Line	:
City	:	COLUMBUS
State	:	IN
Zip	:	47201-2918
Country	:	US
Telephone Number	:	812-373-5437
Fax Number	:	812-373-7678

Authorized Official
Title or Position	:	PEDIATRIC DENTIST
Name	:	DR. JULIE ELIZABETH ANN STEINMETZ
Credential	:	DDS. MSD
Telephone Number	:	812-373-5437

Provider Enumeration Date	:	01/21/2019
Last Update Date	:	01/21/2019

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Directions to “STEINMETZ PEDIATRIC DENTISTRY, P.C. ” Practice Location

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