Provider Demographics
NPI:1477503399
Name:STEINGOLD, MARC JAY (DDS)
Entity Type:Individual
Prefix:DR
First Name:MARC
Middle Name:JAY
Last Name:STEINGOLD
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23350 GRATIOT AVE
Mailing Address - Street 2:
Mailing Address - City:EASTPOINTE
Mailing Address - State:MI
Mailing Address - Zip Code:48021-1643
Mailing Address - Country:US
Mailing Address - Phone:586-775-1633
Mailing Address - Fax:586-775-2912
Practice Address - Street 1:23350 GRATIOT AVE
Practice Address - Street 2:
Practice Address - City:EASTPOINTE
Practice Address - State:MI
Practice Address - Zip Code:48021-1643
Practice Address - Country:US
Practice Address - Phone:586-775-1633
Practice Address - Fax:586-775-2912
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010139321223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice