Provider Demographics
NPI:1528028784
Name:TEMPEL, STEVEN FREDERICK (DDS)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:FREDERICK
Last Name:TEMPEL
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 1:8456 MENDING WALL DR
Mailing Address - Street 2:
Mailing Address - City:WOODRIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60517-4518
Mailing Address - Country:US
Mailing Address - Phone:630-910-4640
Mailing Address - Fax:
Practice Address - Street 1:290 SPRINGFIELD DR
Practice Address - Street 2:190
Practice Address - City:BLOOMINGDALE
Practice Address - State:IL
Practice Address - Zip Code:60108-2214
Practice Address - Country:US
Practice Address - Phone:630-924-8284
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILT38902Medicare UPIN
775101Medicare ID - Type Unspecified