Provider Demographics
NPI:1003170309
Name:CARL M STEGER DDS & ASSOCIATES, PLLC
Entity Type:Organization
Organization Name:CARL M STEGER DDS & ASSOCIATES, PLLC
Other - Org Name:SOUTH RIDING FAMILY DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:LOAYZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-327-0327
Mailing Address - Street 1:43063 PEACOCK MARKET PLZ STE 125
Mailing Address - Street 2:
Mailing Address - City:SOUTH RIDING
Mailing Address - State:VA
Mailing Address - Zip Code:20152-4478
Mailing Address - Country:US
Mailing Address - Phone:703-327-0327
Mailing Address - Fax:703-327-3887
Practice Address - Street 1:43063 PEACOCK MARKET PLZ STE 125
Practice Address - Street 2:
Practice Address - City:SOUTH RIDING
Practice Address - State:VA
Practice Address - Zip Code:20152-4478
Practice Address - Country:US
Practice Address - Phone:703-327-0327
Practice Address - Fax:703-327-3887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-02
Last Update Date:2012-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401412248261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental