STEIDL FAMILY DENTISTRY PC – NPI #1700104072
Clinic/Center

STEIDL FAMILY DENTISTRY PC is an AHC clinic located in MOORHEAD, MN. NPPES has assigned the NPI number 1700104072 to STEIDL FAMILY DENTISTRY PC on May 12, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

The NPI profile was previously updated about 8 years ago on Jul 27, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for STEIDL FAMILY DENTISTRY PC below.

NPI Profile for
STEIDL FAMILY DENTISTRY PC

NPI Number
1700104072
Enumeration Date

(more than 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
STEIDL FAMILY DENTISTRY PC
Primary location
915 37TH AVE S
MOORHEAD, MN 56560
Phone: (218) 236-9319 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JAMIE STEIDL
OWNER
Phone: (218) 236-9319
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)		 MN D12067

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.