Provider Demographics
NPI:1396183976
Name:ANNE K. STEINBERG, DMD, P. C.
Entity Type:Organization
Organization Name:ANNE K. STEINBERG, DMD, P. C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRATICE OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:K
Authorized Official - Last Name:STEINBERG
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:208-321-4937
Mailing Address - Street 1:1410 S ENTERTAINMENT AVE
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83709-8306
Mailing Address - Country:US
Mailing Address - Phone:208-321-4937
Mailing Address - Fax:
Practice Address - Street 1:1410 S ENTERTAINMENT AVE
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83709-8306
Practice Address - Country:US
Practice Address - Phone:208-321-4937
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-05
Last Update Date:2013-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDD4451122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty