Provider Demographics
NPI:1578630562
Name:STECKLER, RICHARD (DDS)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:
Last Name:STECKLER
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 1:1001 W INDIANTOWN RD
Mailing Address - Street 2:SUITE 106
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-6830
Mailing Address - Country:US
Mailing Address - Phone:561-747-7111
Mailing Address - Fax:561-747-8826
Practice Address - Street 1:1001 W INDIANTOWN RD
Practice Address - Street 2:SUITE 106
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-6830
Practice Address - Country:US
Practice Address - Phone:561-747-7111
Practice Address - Fax:561-747-8826
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL87731223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice