Provider Demographics
NPI:1225150626
Name:STEINKAMP, CARL T II (DDS)
Entity Type:Individual
Prefix:DR
First Name:CARL
Middle Name:T
Last Name:STEINKAMP
Suffix:II
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:711 S BROAD ST
Mailing Address - Street 2:
Mailing Address - City:BROOKSVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:34601-3219
Mailing Address - Country:US
Mailing Address - Phone:352-799-3737
Mailing Address - Fax:352-799-3665
Practice Address - Street 1:19494 CORTEZ BLVD
Practice Address - Street 2:
Practice Address - City:BROOKSVILLE
Practice Address - State:FL
Practice Address - Zip Code:34601-3163
Practice Address - Country:US
Practice Address - Phone:352-799-3737
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-04
Last Update Date:2018-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL124121223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice