Provider Demographics
NPI:1053416610
Name:STEELE, JAMES DARRELL (DDS, MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:DARRELL
Last Name:STEELE
Suffix:
Gender:M
Credentials:DDS, MD
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Other - First Name:
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Mailing Address - Street 1:260 N DENTON TAP RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:COPPELL
Mailing Address - State:TX
Mailing Address - Zip Code:75019-2142
Mailing Address - Country:US
Mailing Address - Phone:972-304-3311
Mailing Address - Fax:972-304-0017
Practice Address - Street 1:260 N DENTON TAP RD
Practice Address - Street 2:SUITE 100
Practice Address - City:COPPELL
Practice Address - State:TX
Practice Address - Zip Code:75019-2142
Practice Address - Country:US
Practice Address - Phone:972-304-3311
Practice Address - Fax:972-304-0017
Is Sole Proprietor?:No
Enumeration Date:2006-09-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX192901223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXG65909Medicare UPIN
TX00354EMedicare ID - Type Unspecified