Provider Demographics
NPI:1003193723
Name:STEED, ADELAIDE E (DDS)
Entity Type:Individual
Prefix:DR
First Name:ADELAIDE
Middle Name:E
Last Name:STEED
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 N HIGHWAY 169
Mailing Address - Street 2:
Mailing Address - City:OOLOGAH
Mailing Address - State:OK
Mailing Address - Zip Code:74053-6364
Mailing Address - Country:US
Mailing Address - Phone:918-899-9750
Mailing Address - Fax:
Practice Address - Street 1:225 N HIGHWAY 169
Practice Address - Street 2:
Practice Address - City:OOLOGAH
Practice Address - State:OK
Practice Address - Zip Code:74053-6364
Practice Address - Country:US
Practice Address - Phone:918-899-9750
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-09
Last Update Date:2015-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK6349122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist