Provider Demographics
NPI:1558730440
Name:MARK A STEINBERG DDS,INC
Entity Type:Organization
Organization Name:MARK A STEINBERG DDS,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:STEINBERG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:610-866-0172
Mailing Address - Street 1:2299 BRODHEAD RD
Mailing Address - Street 2:SUITE G
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18020-8908
Mailing Address - Country:US
Mailing Address - Phone:610-866-0172
Mailing Address - Fax:
Practice Address - Street 1:2299 BRODHEAD RD
Practice Address - Street 2:SUITE G
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18020-8908
Practice Address - Country:US
Practice Address - Phone:610-866-0172
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-21
Last Update Date:2015-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0398111223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty