Provider Demographics
NPI:1275748238
Name:STEEN, LISBETH CM (DMD)
Entity type:Individual
Prefix:DR
First Name:LISBETH
Middle Name:CM
Last Name:STEEN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:LISBETH
Other - Middle Name:CM
Other - Last Name:STEEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DMD
Mailing Address - Street 1:127 WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06473-1715
Mailing Address - Country:US
Mailing Address - Phone:203-239-1155
Mailing Address - Fax:
Practice Address - Street 1:127 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:NORTH HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06473-1715
Practice Address - Country:US
Practice Address - Phone:203-239-1155
Practice Address - Fax:203-239-2255
Is Sole Proprietor?:No
Enumeration Date:2007-05-13
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0073991223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice