Provider Demographics
NPI:1225202682
Name:STEEN, CHRISTOPHER WILLIAM (DDD, MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:WILLIAM
Last Name:STEEN
Suffix:
Gender:M
Credentials:DDD, MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18807 BEARDSLEE BLVD STE 102
Mailing Address - Street 2:
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98011-1712
Mailing Address - Country:US
Mailing Address - Phone:425-489-8274
Mailing Address - Fax:425-487-9506
Practice Address - Street 1:18807 BEARDSLEE BLVD STE 102
Practice Address - Street 2:
Practice Address - City:BOTHELL
Practice Address - State:WA
Practice Address - Zip Code:98011-1712
Practice Address - Country:US
Practice Address - Phone:425-489-8274
Practice Address - Fax:425-487-9506
Is Sole Proprietor?:No
Enumeration Date:2008-04-16
Last Update Date:2015-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAS-4231223S0112X
WADE 000107661223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery