Provider Demographics
NPI:1841298114
Name:DIEHL, STEVEN W (DDS, PC)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:W
Last Name:DIEHL
Suffix:
Gender:M
Credentials:DDS, PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1495 PINE GROVE RD
Mailing Address - Street 2:SUITE 101-A
Mailing Address - City:STEAMBOAT SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80487-8814
Mailing Address - Country:US
Mailing Address - Phone:970-879-5150
Mailing Address - Fax:970-879-5152
Practice Address - Street 1:1495 PINE GROVE RD
Practice Address - Street 2:SUITE 101-A
Practice Address - City:STEAMBOAT SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80487-8814
Practice Address - Country:US
Practice Address - Phone:970-879-5150
Practice Address - Fax:970-879-5152
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO64791223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice