Provider Demographics
NPI:1518001841
Name:STEELE, BRUCE EDWIN JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:BRUCE
Middle Name:EDWIN
Last Name:STEELE
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:9842 KENTSDALE DR
Mailing Address - Street 2:
Mailing Address - City:POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20854-4429
Mailing Address - Country:US
Mailing Address - Phone:301-767-1773
Mailing Address - Fax:202-965-3099
Practice Address - Street 1:1605 FOXHALL RD NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20007-2030
Practice Address - Country:US
Practice Address - Phone:202-965-3051
Practice Address - Fax:202-965-3099
Is Sole Proprietor?:No
Enumeration Date:2007-02-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC52561223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice