Steele Family Dentistry LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DN009205 Issued in GA

Legal business name

STEELE FAMILY DENTISTRY LLC

Practice address

116 Mirramount Lake Dr
Woodstock, GA 30189-8213

Phone

(770) 592-7000

Fax

(770) 517-7403

NPI assigned

Feb 18, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Cecolia Lavont Steele, DDS

Title

Owner

Phone

(770) 592-7000

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1266451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266451200000",
    "number": "1164744157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 MIRRAMOUNT LAKE DR",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301898213",
            "telephone_number": "770-592-7000",
            "fax_number": "770-517-7403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 MIRRAMOUNT LAKE DR",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301898213",
            "telephone_number": "770-592-7000",
            "fax_number": "770-517-7403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEELE FAMILY DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-18",
        "last_updated": "2010-02-18",
        "status": "A",
        "authorized_official_last_name": "STEELE",
        "authorized_official_first_name": "CECOLIA",
        "authorized_official_middle_name": "LAVONT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-592-7000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "GA",
            "license": "DN009205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00210834C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erica Sample Stasny, OTR/L
• Stauffer Chiropractic
• Morgan Stauffer, DC
• Stay Grounded Wellness and Consultation Services, LLC
• Rachel Stearns, CNIM
• C. Lavont Steele, DDS
• Jeffery C Steimer, MS, BCBA
• Edward A Stein
• Steven Richard Stein, O.D.
• Alexander Maxwell Stephens, PT

• Dental Clinic/Center in Woodstock, GA
• Providers in Woodstock, GA by specialty
• Dental Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.