Provider Demographics
NPI:1558600460
Name:STEEL, MARC JEFFREY (DDS)
Entity Type:Individual
Prefix:DR
First Name:MARC
Middle Name:JEFFREY
Last Name:STEEL
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 1:214 N CHESTER PIKE
Mailing Address - Street 2:
Mailing Address - City:GLENOLDEN
Mailing Address - State:PA
Mailing Address - Zip Code:19036-1316
Mailing Address - Country:US
Mailing Address - Phone:610-522-0220
Mailing Address - Fax:610-534-9547
Practice Address - Street 1:214 N CHESTER PIKE
Practice Address - Street 2:
Practice Address - City:GLENOLDEN
Practice Address - State:PA
Practice Address - Zip Code:19036-1316
Practice Address - Country:US
Practice Address - Phone:610-522-0220
Practice Address - Fax:610-534-9547
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-13
Last Update Date:2013-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS-22408-L122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist