Provider Demographics
NPI:1275748238
Name:STEEN, LISBETH C (DMD)
Entity Type:Individual
Prefix:DR
First Name:LISBETH
Middle Name:C
Last Name:STEEN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:LISBETH
Other - Middle Name:CM
Other - Last Name:STEEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DMD
Mailing Address - Street 1:3129 WHITNEY AVE
Mailing Address - Street 2:
Mailing Address - City:HAMDEN
Mailing Address - State:CT
Mailing Address - Zip Code:06518-2364
Mailing Address - Country:US
Mailing Address - Phone:203-230-8787
Mailing Address - Fax:203-230-9315
Practice Address - Street 1:3129 WHITNEY AVE
Practice Address - Street 2:
Practice Address - City:HAMDEN
Practice Address - State:CT
Practice Address - Zip Code:06518-2364
Practice Address - Country:US
Practice Address - Phone:203-230-8787
Practice Address - Fax:203-230-9315
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0073991223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice