Provider Demographics
NPI:1780930545
Name:STEEL, DREW (DMD)
Entity type:Individual
Prefix:DR
First Name:DREW
Middle Name:
Last Name:STEEL
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:915 MESA ROJA TRL NE
Mailing Address - Street 2:
Mailing Address - City:RIO RANCHO
Mailing Address - State:NM
Mailing Address - Zip Code:87124-6388
Mailing Address - Country:US
Mailing Address - Phone:801-372-6123
Mailing Address - Fax:801-372-6123
Practice Address - Street 1:915 MESA ROJA TRL NE
Practice Address - Street 2:
Practice Address - City:RIO RANCHO
Practice Address - State:NM
Practice Address - Zip Code:87124-6388
Practice Address - Country:US
Practice Address - Phone:801-372-6123
Practice Address - Fax:801-372-6123
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-31
Last Update Date:2017-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDRP9481223S0112X
NMDD42631223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery