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NPI Code Detail

MEDICARE: J E STEELE DDS PC

MEDICARE: J E STEELE DDS PC
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
11223G0001XGeneral Practice Dentistry54001774AIN

General Provider Information

NPI Number : 1144641952
Entity Type Code : Organization
Provider Name (Legal Business Name) : J E STEELE DDS PC
Provider Business Mailing Address
First Line : 423 WATERFALL DR
Second Line :
City : ELKHART
State : IN
Zip : 46516-3660
Country : US
Telephone Number : 574-293-6342
Fax Number : 574-522-8578
Provider Business Practice Location Address
First Line : 423 WATERFALL DR
Second Line :
City : ELKHART
State : IN
Zip : 46516-3660
Country : US
Telephone Number : 574-293-6342
Fax Number : 574-522-8578
Authorized Official
Title or Position : DENTIST/OWNER
Name : DR. JEFFREY E STEELE
Credential : DDS
Telephone Number : 574-293-6342
Provider Enumeration Date : 12/20/2013
Last Update Date : 12/20/2013

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Directions to “J E STEELE DDS PC ” Practice Location

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