Provider Demographics
NPI:1023805033
Name:ANDREW STEIDLEY DMD MS PLLC
Entity type:Organization
Organization Name:ANDREW STEIDLEY DMD MS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:R
Authorized Official - Last Name:STEIDLEY
Authorized Official - Suffix:
Authorized Official - Credentials:DMD, MS, DIPLO ABE
Authorized Official - Phone:360-342-6700
Mailing Address - Street 1:1700 HUDSON ST STE 202
Mailing Address - Street 2:
Mailing Address - City:LONGVIEW
Mailing Address - State:WA
Mailing Address - Zip Code:98632-2930
Mailing Address - Country:US
Mailing Address - Phone:360-342-6700
Mailing Address - Fax:
Practice Address - Street 1:1700 HUDSON ST
Practice Address - Street 2:SUITE #202
Practice Address - City:LONGVIEW
Practice Address - State:WA
Practice Address - Zip Code:98632
Practice Address - Country:US
Practice Address - Phone:360-342-6700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-22
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty