Provider Demographics
NPI:1679330971
Name:STEINBECK, ALLISON DAWN
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:DAWN
Last Name:STEINBECK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12501 E LINCOLN AVE UNIT 102
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80112-4753
Mailing Address - Country:US
Mailing Address - Phone:303-768-8137
Mailing Address - Fax:
Practice Address - Street 1:12501 E LINCOLN AVE UNIT 102
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80112-4753
Practice Address - Country:US
Practice Address - Phone:303-768-8137
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-04
Last Update Date:2024-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO00206068122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist