Provider Demographics
NPI:1598735847
Name:STEELE, BEN T (DMD)
Entity Type:Individual
Prefix:
First Name:BEN
Middle Name:T
Last Name:STEELE
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9581 SHORE DR
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23518-1711
Mailing Address - Country:US
Mailing Address - Phone:757-393-6363
Mailing Address - Fax:757-227-6168
Practice Address - Street 1:9581 SHORE DR
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23518-1711
Practice Address - Country:US
Practice Address - Phone:757-393-6363
Practice Address - Fax:757-227-6168
Is Sole Proprietor?:No
Enumeration Date:2006-01-26
Last Update Date:2019-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN013870122300000X
VA0401410762122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist