Provider Demographics
NPI:1881692556
Name:DAVID R STEINER DDS MSD PS
Entity type:Organization
Organization Name:DAVID R STEINER DDS MSD PS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:STEINER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MSD
Authorized Official - Phone:253-752-5511
Mailing Address - Street 1:4050 SOUTH 19TH ST., SUITE 102
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98405-1462
Mailing Address - Country:US
Mailing Address - Phone:253-752-5511
Mailing Address - Fax:253-756-5875
Practice Address - Street 1:4050 SOUTH 19TH ST., SUITE 102
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98405-1462
Practice Address - Country:US
Practice Address - Phone:253-752-5511
Practice Address - Fax:253-756-5875
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE000040051223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty