Provider Demographics
NPI:1538470349
Name:STEELE, ERIC C (DDS)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:C
Last Name:STEELE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2633 SUPERIOR DRIVE NW
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55901
Mailing Address - Country:US
Mailing Address - Phone:507-289-2055
Mailing Address - Fax:507-424-0159
Practice Address - Street 1:2633 SUPERIOR DR NW
Practice Address - Street 2:SUITE 200
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55901-8522
Practice Address - Country:US
Practice Address - Phone:507-289-2055
Practice Address - Fax:507-424-0159
Is Sole Proprietor?:No
Enumeration Date:2010-06-25
Last Update Date:2013-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND13326122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist