Provider Demographics
NPI:1205889532
Name:STEINBRUNNER, RON L (DDS MSD)
Entity type:Individual
Prefix:DR
First Name:RON
Middle Name:L
Last Name:STEINBRUNNER
Suffix:
Gender:M
Credentials:DDS MSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18555 N 79TH AVE
Mailing Address - Street 2:STE 105
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85308
Mailing Address - Country:US
Mailing Address - Phone:623-939-3313
Mailing Address - Fax:623-939-2893
Practice Address - Street 1:18555 N 79TH AVE
Practice Address - Street 2:STE D104
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85308
Practice Address - Country:US
Practice Address - Phone:623-939-3313
Practice Address - Fax:623-939-2893
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD4701122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist