Provider Demographics
NPI:1154573087
Name:WARREN A STEINER DDS, INC.
Entity type:Organization
Organization Name:WARREN A STEINER DDS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WARREN
Authorized Official - Middle Name:A
Authorized Official - Last Name:STEINER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:408-723-4080
Mailing Address - Street 1:4860 CHERRY AVE
Mailing Address - Street 2:SUITE C
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95118-3716
Mailing Address - Country:US
Mailing Address - Phone:408-723-4080
Mailing Address - Fax:408-723-4083
Practice Address - Street 1:4860 CHERRY AVE
Practice Address - Street 2:SUITE C
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95118-3716
Practice Address - Country:US
Practice Address - Phone:408-723-4080
Practice Address - Fax:408-723-4083
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-22
Last Update Date:2008-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA023043261QD0000X, 261QS0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS0112XAmbulatory Health Care FacilitiesClinic/CenterOral and Maxillofacial Surgery
No261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental