| Organization Name: | STEVE R. NEILL DDS PA |
| NPI Number: | 1174769285 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | STEVE RALPH NEILL (OWNER) |
| Mailing Address: | 302 N Hospital Dr Paola |
| State: | KS US |
| Postal Code: | 660711304 |
| Phone Number: | 9132942402 |
| Fax Number: | 9132944067 |
| NPI Enumeration Date: | 12/18/2008 |
| NPI Last Update Date: | 12/18/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | 5148 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KS |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |