Provider Demographics
NPI:1245820844
Name:DENTAL STAFFING SOLUTIONS/STEINWEDEL LLC
Entity type:Organization
Organization Name:DENTAL STAFFING SOLUTIONS/STEINWEDEL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/RDH
Authorized Official - Prefix:MRS
Authorized Official - First Name:KENDRA
Authorized Official - Middle Name:DONIELLE
Authorized Official - Last Name:MARTIN-DARLING
Authorized Official - Suffix:
Authorized Official - Credentials:RDH
Authorized Official - Phone:812-406-8911
Mailing Address - Street 1:159 W PINE DR
Mailing Address - Street 2:
Mailing Address - City:SANTA CLAUS
Mailing Address - State:IN
Mailing Address - Zip Code:47579-6109
Mailing Address - Country:US
Mailing Address - Phone:812-406-8911
Mailing Address - Fax:
Practice Address - Street 1:7614 SR 64 SUITE B
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:IN
Practice Address - Zip Code:47122
Practice Address - Country:US
Practice Address - Phone:812-951-1540
Practice Address - Fax:812-951-1589
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-19
Last Update Date:2021-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223D0001XDental ProvidersDentistDental Public HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN1285706580OtherWM. T STEINWEDEL DDS