Provider Demographics
NPI:1811911357
Name:OLTEAN, STEVEN CHARLES (DDS)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:CHARLES
Last Name:OLTEAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:18745 W MEADOW GRASS DR
Mailing Address - Street 2:
Mailing Address - City:LAKE VILLA
Mailing Address - State:IL
Mailing Address - Zip Code:60046-6761
Mailing Address - Country:US
Mailing Address - Phone:847-265-2730
Mailing Address - Fax:
Practice Address - Street 1:1275 E BELVIDERE RD
Practice Address - Street 2:SUITE 220
Practice Address - City:GRAYSLAKE
Practice Address - State:IL
Practice Address - Zip Code:60030-2082
Practice Address - Country:US
Practice Address - Phone:847-548-1718
Practice Address - Fax:847-548-1310
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2010-08-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL210021011223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery