Provider Demographics
NPI:1760719207
Name:HAASE, STEVEN L (DDS)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:L
Last Name:HAASE
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 1:12101 BEE CAVES RD
Mailing Address - Street 2:
Mailing Address - City:BEE CAVE
Mailing Address - State:TX
Mailing Address - Zip Code:78738-5391
Mailing Address - Country:US
Mailing Address - Phone:512-263-5566
Mailing Address - Fax:
Practice Address - Street 1:12101 BEE CAVES RD
Practice Address - Street 2:SUITE 5-H
Practice Address - City:BEE CAVE
Practice Address - State:TX
Practice Address - Zip Code:78738-5391
Practice Address - Country:US
Practice Address - Phone:512-263-5566
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-04
Last Update Date:2010-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX248281223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice