MEDICARE: MR. BRIAN CAMERON STEELE D.D.S.

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	1223E0200X	Endodontics	54818	CA
2	1223P0700X	Prosthodontics	54818	CA
3	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	54818	CA
4	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	54818	CA
5	1223G0001X	General Practice Dentistry	54818	CA

General Provider Information

NPI Number	:	1518184647
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. BRIAN CAMERON STEELE D.D.S.

Provider Business Mailing Address
First Line	:	4350 MARCONI AVE
Second Line	:	SUITE 100
City	:	SACRAMENTO
State	:	CA
Zip	:	95821
Country	:	US
Telephone Number	:	916-868-4854
Fax Number	:

Provider Business Practice Location Address
First Line	:	4350 MARCONI AVE
Second Line	:	SUITE 100
City	:	SACRAMENTO
State	:	CA
Zip	:	95821
Country	:	US
Telephone Number	:	916-868-4854
Fax Number	:

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

Provider Enumeration Date	:	04/19/2007
Last Update Date	:	02/12/2026

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