Provider Demographics
NPI:1801066477
Name:SOELBERT, STEVEN B (DMD)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:B
Last Name:SOELBERT
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2200 E 4500 S
Mailing Address - Street 2:SUITE 100
Mailing Address - City:HOLLADAY
Mailing Address - State:UT
Mailing Address - Zip Code:84117-4437
Mailing Address - Country:US
Mailing Address - Phone:801-288-1888
Mailing Address - Fax:801-288-1333
Practice Address - Street 1:2200 E 4500 S
Practice Address - Street 2:SUITE 100
Practice Address - City:HOLLADAY
Practice Address - State:UT
Practice Address - Zip Code:84117-4437
Practice Address - Country:US
Practice Address - Phone:801-288-1888
Practice Address - Fax:801-288-1333
Is Sole Proprietor?:No
Enumeration Date:2008-03-10
Last Update Date:2008-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT3104762-9911122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist