MEDICARE: DAVID LARKIN STEELE DDS

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	1223G0001X	General Practice Dentistry	15270	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	816197	OTHER	TX	UNITED CONCORDIA ID#

General Provider Information

NPI Number	:	1174636971
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID LARKIN STEELE DDS

Provider Business Mailing Address
First Line	:	2017 RICHMOND RD
Second Line	:
City	:	TEXARKANA
State	:	TX
Zip	:	75503-2432
Country	:	US
Telephone Number	:	903-838-8231
Fax Number	:

Provider Business Practice Location Address
First Line	:	2017 RICHMOND RD
Second Line	:
City	:	TEXARKANA
State	:	TX
Zip	:	75503-2432
Country	:	US
Telephone Number	:	903-838-8231
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/16/2006
Last Update Date	:	07/08/2007

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