MEDICARE: BRIAN E STEINHOFF DDS MSD INC

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	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1568437846
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRIAN E STEINHOFF DDS MSD INC

Provider Business Mailing Address
First Line	:	6531 CROWN BLVD
Second Line	:	SUITE 5
City	:	SAN JOSE
State	:	CA
Zip	:	95120-2906
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6531 CROWN BLVD
Second Line	:	SUITE 5
City	:	SAN JOSE
State	:	CA
Zip	:	95120-2906
Country	:	US
Telephone Number	:	408-268-4422
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. BRIAN E STEINHOFF
Credential	:	DDS MSD
Telephone Number	:	408-268-4422

Provider Enumeration Date	:	02/21/2006
Last Update Date	:	05/17/2010

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