Provider Demographics
NPI:1013060052
Name:STEIGER, JACOB (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:JACOB
Middle Name:
Last Name:STEIGER
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23284 PLUMBROOKE DR
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48075-3246
Mailing Address - Country:US
Mailing Address - Phone:248-352-4268
Mailing Address - Fax:
Practice Address - Street 1:33505 W 14 MILE RD STE 70
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48331-1588
Practice Address - Country:US
Practice Address - Phone:248-851-1034
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-21
Last Update Date:2014-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901018621122300000X, 1223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics
No122300000XDental ProvidersDentist