Provider Demographics
NPI:1336213586
Name:STEELE, WILLIAM M (DDS)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:M
Last Name:STEELE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 N. CLARK ST STE 600
Mailing Address - Street 2:CLO KOS SERVICES
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60654
Mailing Address - Country:US
Mailing Address - Phone:703-704-6181
Mailing Address - Fax:
Practice Address - Street 1:1553 ALABAMA AVE. SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20032
Practice Address - Country:US
Practice Address - Phone:202-610-3300
Practice Address - Fax:703-704-6671
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2016-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04010056221223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice