Provider Demographics
NPI:1235270158
Name:STEINHILBER, SORAYA (DDS)
Entity Type:Individual
Prefix:
First Name:SORAYA
Middle Name:
Last Name:STEINHILBER
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 1:212 HIGH STONE CIR
Mailing Address - Street 2:
Mailing Address - City:PITTSFORD
Mailing Address - State:NY
Mailing Address - Zip Code:14534-2840
Mailing Address - Country:US
Mailing Address - Phone:585-752-9430
Mailing Address - Fax:
Practice Address - Street 1:3517 THOMAS DR
Practice Address - Street 2:SUITE 12
Practice Address - City:LAKEVILLE
Practice Address - State:NY
Practice Address - Zip Code:14480-9760
Practice Address - Country:US
Practice Address - Phone:585-346-4590
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-12
Last Update Date:2016-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0424411223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01609549Medicaid
NY042441OtherLICENSE #