Provider Demographics
NPI:1063523504
Name:STEINEKER & DILLON PC
Entity type:Organization
Organization Name:STEINEKER & DILLON PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CLARENCE
Authorized Official - Middle Name:ARTHUR
Authorized Official - Last Name:STEINEKER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:334-277-5665
Mailing Address - Street 1:4730 WOODMERE BLVD
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36106
Mailing Address - Country:US
Mailing Address - Phone:334-277-5665
Mailing Address - Fax:334-270-8923
Practice Address - Street 1:4730 WOODMERE BLVD
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36106
Practice Address - Country:US
Practice Address - Phone:334-277-5665
Practice Address - Fax:334-270-8923
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2008-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL4694122300000X
AL3707122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL000092518Medicaid
PA822219OtherUNITED CONCORDIA
AL92518OtherBLUE CROSS BLUE SHIELD