Provider Demographics
NPI:1912022112
Name:DENTAL ONE ASSOCIATES STEEPLECHASE PC
Entity Type:Organization
Organization Name:DENTAL ONE ASSOCIATES STEEPLECHASE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INSURANCE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MIKE
Authorized Official - Middle Name:
Authorized Official - Last Name:COLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-726-1611
Mailing Address - Street 1:9141 ALAKING CT
Mailing Address - Street 2:107
Mailing Address - City:CAPITOL HEIGHTS
Mailing Address - State:MD
Mailing Address - Zip Code:20743-5043
Mailing Address - Country:US
Mailing Address - Phone:301-568-4800
Mailing Address - Fax:
Practice Address - Street 1:9141 ALAKING CT
Practice Address - Street 2:107
Practice Address - City:CAPITOL HEIGHTS
Practice Address - State:MD
Practice Address - Zip Code:20743-5043
Practice Address - Country:US
Practice Address - Phone:301-568-4800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2011-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty