Basic Information
| Provider Information | |||||||||
| NPI: | 1366972960 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | STEGER | ||||||||
| FirstName: | WENDY | ||||||||
| MiddleName: | |||||||||
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| Credential: | DDS | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 860036 | ||||||||
| Address2: | |||||||||
| City: | MINNEAPOLIS | ||||||||
| State: | MN | ||||||||
| PostalCode: | 554860036 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4692771085 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 3005 JOE RAMSEY BLVD E STE A | ||||||||
| Address2: | |||||||||
| City: | GREENVILLE | ||||||||
| State: | TX | ||||||||
| PostalCode: | 754017776 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9034546965 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/15/2017 | ||||||||
| LastUpdateDate: | 07/21/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 05/24/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 122300000X | 32915 | TX | N | Dental Providers | Dentist | 1223G0001X | 32915 | TX | Y | Dental Providers | Dentist | General Practice |
No ID Information.