Provider Demographics
NPI:1720120090
Name:CLIFFORD J STEINLE III D.D.S. INC.
Entity Type:Organization
Organization Name:CLIFFORD J STEINLE III D.D.S. INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CLIFFORD
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:STEINLE
Authorized Official - Suffix:III
Authorized Official - Credentials:DDS
Authorized Official - Phone:937-382-2212
Mailing Address - Street 1:212 S SOUTH ST
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:45177-2218
Mailing Address - Country:US
Mailing Address - Phone:937-382-2212
Mailing Address - Fax:937-382-7212
Practice Address - Street 1:212 S SOUTH ST
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:OH
Practice Address - Zip Code:45177-2218
Practice Address - Country:US
Practice Address - Phone:937-382-2212
Practice Address - Fax:937-382-7212
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH300190031223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty