Provider Demographics
NPI:1659444784
Name:STEINHUBEL, JASON M (DDS)
Entity Type:Individual
Prefix:DR
First Name:JASON
Middle Name:M
Last Name:STEINHUBEL
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 1:9623 32ND ST SE
Mailing Address - Street 2:SUITE B105
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98205-2424
Mailing Address - Country:US
Mailing Address - Phone:425-335-1111
Mailing Address - Fax:
Practice Address - Street 1:9623 32ND ST SE
Practice Address - Street 2:STE B105
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98205-2424
Practice Address - Country:US
Practice Address - Phone:425-335-1111
Practice Address - Fax:425-335-1122
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE000091161223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice