Provider Demographics
NPI:1407819188
Name:STEEL, KATHIA DELCARMEN (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:KATHIA
Middle Name:DELCARMEN
Last Name:STEEL
Suffix:
Gender:F
Credentials:DDS, MS
Other - Prefix:
Other - First Name:KATHIA
Other - Middle Name:
Other - Last Name:STEEL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS,MS
Mailing Address - Street 1:8117 PRESTON RD
Mailing Address - Street 2:STE 170
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75225-6320
Mailing Address - Country:US
Mailing Address - Phone:214-369-9000
Mailing Address - Fax:214-369-6700
Practice Address - Street 1:8117 PRESTON RD
Practice Address - Street 2:STE 170
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75225-6320
Practice Address - Country:US
Practice Address - Phone:214-369-9000
Practice Address - Fax:214-369-6700
Is Sole Proprietor?:No
Enumeration Date:2006-04-11
Last Update Date:2021-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX199971223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX154478501Medicaid
U92186Medicare UPIN
TX154478501Medicaid