Provider Demographics
NPI:1811026685
Name:STEVEN R CZEKALA DDS INC
Entity type:Organization
Organization Name:STEVEN R CZEKALA DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:R
Authorized Official - Last Name:CZEKALA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:925-828-5335
Mailing Address - Street 1:9301 FIRCREST LN
Mailing Address - Street 2:SUITE 7
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94583-3960
Mailing Address - Country:US
Mailing Address - Phone:925-828-5335
Mailing Address - Fax:925-829-6170
Practice Address - Street 1:9301 FIRCREST LN
Practice Address - Street 2:SUITE 7
Practice Address - City:SAN RAMON
Practice Address - State:CA
Practice Address - Zip Code:94583-3960
Practice Address - Country:US
Practice Address - Phone:925-828-5335
Practice Address - Fax:925-829-6170
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-05
Last Update Date:2008-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA181871223G0001X
CA412611223G0001X
CA548691223G0001X
CA356031223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty