Provider Demographics
NPI:1821480526
Name:BRIAN STEELE DDS, INC.
Entity Type:Organization
Organization Name:BRIAN STEELE DDS, INC.
Other - Org Name:STEELE YUBA DENTAL GROUP,INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DDS/CEO
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:CAMERON
Authorized Official - Last Name:STEELE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:530-671-4784
Mailing Address - Street 1:1052 LIVE OAK BLVD
Mailing Address - Street 2:
Mailing Address - City:YUBA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95991-3416
Mailing Address - Country:US
Mailing Address - Phone:530-671-4784
Mailing Address - Fax:
Practice Address - Street 1:1052 LIVE OAK BLVD
Practice Address - Street 2:
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95991-3416
Practice Address - Country:US
Practice Address - Phone:530-671-4784
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SACRAMENTO DENTISTRY GROUP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-03-04
Last Update Date:2015-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA54818305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization