Provider Demographics
NPI:1467579680
Name:PAUL J. STEELE, D.D.S.,P.C.
Entity Type:Organization
Organization Name:PAUL J. STEELE, D.D.S.,P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:J
Authorized Official - Last Name:STEELE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:307-778-8988
Mailing Address - Street 1:1401 AIRPORT PKWY
Mailing Address - Street 2:SUITE 130
Mailing Address - City:CHEYENNE
Mailing Address - State:WY
Mailing Address - Zip Code:82001-1518
Mailing Address - Country:US
Mailing Address - Phone:307-778-8988
Mailing Address - Fax:307-778-8992
Practice Address - Street 1:1401 AIRPORT PKWY
Practice Address - Street 2:SUITE 130
Practice Address - City:CHEYENNE
Practice Address - State:WY
Practice Address - Zip Code:82001-1518
Practice Address - Country:US
Practice Address - Phone:307-778-8988
Practice Address - Fax:307-778-8992
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-23
Last Update Date:2008-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY9231223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty