Provider Demographics
NPI:1689732703
Name:STEINBERG, LAURA L (DDS PA)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:L
Last Name:STEINBERG
Suffix:
Gender:F
Credentials:DDS PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3509 DOGWOOD DR
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27403-1008
Mailing Address - Country:US
Mailing Address - Phone:336-297-0097
Mailing Address - Fax:
Practice Address - Street 1:601 WALTER REED DR
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27403-4647
Practice Address - Country:US
Practice Address - Phone:336-855-1001
Practice Address - Fax:336-855-1343
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC66381223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCV04879Medicare UPIN