Provider Demographics
NPI:1063493120
Name:STEINFELD, WILLIAM L (DMD)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:L
Last Name:STEINFELD
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2999
Mailing Address - Street 2:487 ROUTE 11
Mailing Address - City:CHAMPLAIN
Mailing Address - State:NY
Mailing Address - Zip Code:12919-2999
Mailing Address - Country:US
Mailing Address - Phone:518-298-8112
Mailing Address - Fax:518-298-3704
Practice Address - Street 1:487 ROUTE 11
Practice Address - Street 2:
Practice Address - City:CHAMPLAIN
Practice Address - State:NY
Practice Address - Zip Code:12919
Practice Address - Country:US
Practice Address - Phone:518-298-8112
Practice Address - Fax:518-298-3704
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0371941223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00889345Medicaid