Provider Demographics
NPI:1588816243
Name:STEELE, NATHAN CHRISTOPHER (DDS, MD)
Entity Type:Individual
Prefix:DR
First Name:NATHAN
Middle Name:CHRISTOPHER
Last Name:STEELE
Suffix:
Gender:M
Credentials:DDS, MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6238 YELLOWSTONE RD
Mailing Address - Street 2:
Mailing Address - City:CHEYENNE
Mailing Address - State:WY
Mailing Address - Zip Code:82009-3432
Mailing Address - Country:US
Mailing Address - Phone:307-635-6490
Mailing Address - Fax:307-635-2839
Practice Address - Street 1:6238 YELLOWSTONE RD
Practice Address - Street 2:
Practice Address - City:CHEYENNE
Practice Address - State:WY
Practice Address - Zip Code:82009-3432
Practice Address - Country:US
Practice Address - Phone:307-635-6490
Practice Address - Fax:307-635-2839
Is Sole Proprietor?:No
Enumeration Date:2008-10-14
Last Update Date:2015-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX24005122300000X
WY13681223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
No122300000XDental ProvidersDentist