Provider Demographics
NPI:1730219080
Name:STEELE, JOSEPH CRAFT (DMD,MS)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:CRAFT
Last Name:STEELE
Suffix:
Gender:M
Credentials:DMD,MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 WILKINSON TRCE STE 1
Mailing Address - Street 2:
Mailing Address - City:BOWLING GREEN
Mailing Address - State:KY
Mailing Address - Zip Code:42103-2483
Mailing Address - Country:US
Mailing Address - Phone:270-842-0084
Mailing Address - Fax:270-842-0604
Practice Address - Street 1:901 WILKINSON TRCE
Practice Address - Street 2:
Practice Address - City:BOWLING GREEN
Practice Address - State:KY
Practice Address - Zip Code:42103-2483
Practice Address - Country:US
Practice Address - Phone:270-842-0084
Practice Address - Fax:270-842-0604
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-06
Last Update Date:2008-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY6244-4981223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY60062445Medicaid
KY60062445Medicaid