1578668281 NPI number — RITA STEINER DMD PA

Table of content: (NPI 1578668281)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1578668281 NPI number — RITA STEINER DMD PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
RITA STEINER DMD PA
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1578668281
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/09/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7100 W COMMERCIAL BLVD
Provider Second Line Business Mailing Address:
SUITE 108
Provider Business Mailing Address City Name:
LAUDERHILL
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33319-2155
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
954-741-6556
Provider Business Mailing Address Fax Number:
954-741-1715

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
19080 NE 29TH AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
AVENTURA
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33180
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
305-932-6819
Provider Business Practice Location Address Fax Number:
305-933-4051
Provider Enumeration Date:
09/14/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
STEINER
Authorized Official First Name:
RITA
Authorized Official Middle Name:
Authorized Official Title or Position:
DENTIST ENDODONTIST
Authorized Official Telephone Number:
305-932-6819

Provider Taxonomy Codes

  • Taxonomy code: 1223E0200X , with the licence number:  DN15876 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)