Provider Demographics
NPI:1699233742
Name:STEELE DENTAL LLC
Entity type:Organization
Organization Name:STEELE DENTAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CASSIE
Authorized Official - Middle Name:
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:618-357-2445
Mailing Address - Street 1:4742 HOLTS PRAIRIE RD
Mailing Address - Street 2:
Mailing Address - City:PINCKNEYVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62274-3436
Mailing Address - Country:US
Mailing Address - Phone:618-357-2445
Mailing Address - Fax:618-357-9549
Practice Address - Street 1:4742 HOLTS PRAIRIE RD
Practice Address - Street 2:
Practice Address - City:PINCKNEYVILLE
Practice Address - State:IL
Practice Address - Zip Code:62274-3436
Practice Address - Country:US
Practice Address - Phone:618-357-2445
Practice Address - Fax:618-357-9549
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-07
Last Update Date:2019-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental