Organization Name: | RICHARD L. STEEL, DDS,LLC |
NPI Number: | 1053709584 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RICHARD L STEEL (PRESIDENT) |
Mailing Address: | 3645 Providence Rd Newtown Square |
State: | PA US |
Postal Code: | 190733006 |
Phone Number: | 6103562667 |
Fax Number: | |
NPI Enumeration Date: | 01/06/2015 |
NPI Last Update Date: | 01/06/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QD0000X |
License Number: | PA23100-L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Dental |
Taxonomy Definition: |