Provider Demographics
NPI:1710235031
Name:HANDEL, STEVEN EDWARD JR (DMD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:EDWARD
Last Name:HANDEL
Suffix:JR
Gender:M
Credentials:DMD
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Mailing Address - Street 1:59 DG AF POSTGRADUATE DENTAL SCHOOL
Mailing Address - Street 2:2133 PEPPERRELL STREET, BUILDING 3352
Mailing Address - City:JBSA-LACKLAND
Mailing Address - State:TX
Mailing Address - Zip Code:78236-5313
Mailing Address - Country:US
Mailing Address - Phone:210-292-6258
Mailing Address - Fax:210-292-2618
Practice Address - Street 1:59 DG AF POSTGRADUATE DENTAL SCHOOL
Practice Address - Street 2:2133 PEPPERRELL STREET, BUILDING 3352
Practice Address - City:JBSA-LACKLAND
Practice Address - State:TX
Practice Address - Zip Code:78236-5313
Practice Address - Country:US
Practice Address - Phone:210-292-6258
Practice Address - Fax:210-292-2618
Is Sole Proprietor?:No
Enumeration Date:2012-08-16
Last Update Date:2021-06-18
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Provider Licenses
StateLicense IDTaxonomies
TX358611223G0001X
WI6921-151223P0700X, 1223G0001X
WI69211223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics
No1223G0001XDental ProvidersDentistGeneral Practice