Provider Demographics
NPI:1215259072
Name:STEINKE & CARUSO DENTAL CARE
Entity type:Organization
Organization Name:STEINKE & CARUSO DENTAL CARE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:CARUSO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-422-3770
Mailing Address - Street 1:PO BOX 175
Mailing Address - Street 2:8 MAIN STREET
Mailing Address - City:SORRENTO
Mailing Address - State:ME
Mailing Address - Zip Code:04677-0175
Mailing Address - Country:US
Mailing Address - Phone:207-422-3770
Mailing Address - Fax:207-422-6525
Practice Address - Street 1:8 MAIN STREET
Practice Address - Street 2:
Practice Address - City:SORRENTO
Practice Address - State:ME
Practice Address - Zip Code:04677
Practice Address - Country:US
Practice Address - Phone:207-422-3770
Practice Address - Fax:207-422-6525
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-22
Last Update Date:2010-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME3740122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty