Provider Demographics
NPI:1790751758
Name:STEINER, JOHN E (DMD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:E
Last Name:STEINER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47 CRESTWOOD RD
Mailing Address - Street 2:SUITE #4
Mailing Address - City:KAYSVILLE
Mailing Address - State:UT
Mailing Address - Zip Code:84037-1445
Mailing Address - Country:US
Mailing Address - Phone:801-544-0091
Mailing Address - Fax:801-544-8159
Practice Address - Street 1:47 CRESTWOOD RD
Practice Address - Street 2:SUITE #4
Practice Address - City:KAYSVILLE
Practice Address - State:UT
Practice Address - Zip Code:84037-1445
Practice Address - Country:US
Practice Address - Phone:801-544-0091
Practice Address - Fax:801-544-8159
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-28
Last Update Date:2007-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT13378699221223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice