Provider Demographics
NPI:1497011480
Name:STEINBACH, THOMAS ANDREW (DDS)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:ANDREW
Last Name:STEINBACH
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 1:18200 W CAPITOL DR STE 202
Mailing Address - Street 2:
Mailing Address - City:BROOKFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:53045-1446
Mailing Address - Country:US
Mailing Address - Phone:262-781-0080
Mailing Address - Fax:262-781-5023
Practice Address - Street 1:18200 W CAPITOL DR STE 202
Practice Address - Street 2:
Practice Address - City:BROOKFIELD
Practice Address - State:WI
Practice Address - Zip Code:53045-1446
Practice Address - Country:US
Practice Address - Phone:262-781-0080
Practice Address - Fax:262-781-5023
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-04
Last Update Date:2012-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI6882-151223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice