Provider Demographics
NPI:1104004639
Name:STEELE, COURTNEY CELESTE (DDS)
Entity Type:Individual
Prefix:DR
First Name:COURTNEY
Middle Name:CELESTE
Last Name:STEELE
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 1:5708 COLLEYVILLE BLVD
Mailing Address - Street 2:SUITE A
Mailing Address - City:COLLEYVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76034-6064
Mailing Address - Country:US
Mailing Address - Phone:817-428-8575
Mailing Address - Fax:817-577-3970
Practice Address - Street 1:5708 COLLEYVILLE BLVD
Practice Address - Street 2:SUITE A
Practice Address - City:COLLEYVILLE
Practice Address - State:TX
Practice Address - Zip Code:76034-6064
Practice Address - Country:US
Practice Address - Phone:817-428-8575
Practice Address - Fax:817-577-3970
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-06
Last Update Date:2008-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX22715122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist