Provider Demographics
NPI:1780768747
Name:STEAKLEY, STEVEN L (DDS)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:L
Last Name:STEAKLEY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4338 1ST ST N
Mailing Address - Street 2:SUITE E
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33703-4900
Mailing Address - Country:US
Mailing Address - Phone:727-822-2283
Mailing Address - Fax:727-821-2248
Practice Address - Street 1:4338 1ST ST N
Practice Address - Street 2:SUITE E
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33703-4900
Practice Address - Country:US
Practice Address - Phone:727-822-2283
Practice Address - Fax:727-821-2248
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN61551223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice