Provider Demographics
NPI:1295107068
Name:CARL M. STEGER, DDS & ASSOCIATES, PLLC
Entity type:Organization
Organization Name:CARL M. STEGER, DDS & ASSOCIATES, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:LOAYZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-327-0327
Mailing Address - Street 1:43063 PEACOCK MARKET PLZ
Mailing Address - Street 2:STE. 125
Mailing Address - City:SOUTH RIDING
Mailing Address - State:VA
Mailing Address - Zip Code:20152-4473
Mailing Address - Country:US
Mailing Address - Phone:703-327-0327
Mailing Address - Fax:703-327-3887
Practice Address - Street 1:43063 PEACOCK MARKET PLZ
Practice Address - Street 2:STE. 125
Practice Address - City:SOUTH RIDING
Practice Address - State:VA
Practice Address - Zip Code:20152-4473
Practice Address - Country:US
Practice Address - Phone:703-327-0327
Practice Address - Fax:703-327-3887
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:POTOMAC VALLEY DENTAL CARE, PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-10-20
Last Update Date:2015-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty