Provider Demographics
NPI:1659403509
Name:STEELE-HALL, CATHLEEN ANN (RDH)
Entity Type:Individual
Prefix:MS
First Name:CATHLEEN
Middle Name:ANN
Last Name:STEELE-HALL
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 MARVIN BLVD
Mailing Address - Street 2:
Mailing Address - City:WARNER ROBINS
Mailing Address - State:GA
Mailing Address - Zip Code:31088-5626
Mailing Address - Country:US
Mailing Address - Phone:478-922-4598
Mailing Address - Fax:
Practice Address - Street 1:655 7TH ST
Practice Address - Street 2:78TH MDG SGHC
Practice Address - City:ROBINS AFB
Practice Address - State:GA
Practice Address - Zip Code:31098-2227
Practice Address - Country:US
Practice Address - Phone:478-327-8056
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA5970124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist