Provider Demographics
NPI:1023491503
Name:STEEL, ELEANOR (DMD, MPH)
Entity type:Individual
Prefix:DR
First Name:ELEANOR
Middle Name:
Last Name:STEEL
Suffix:
Gender:F
Credentials:DMD, MPH
Other - Prefix:DR
Other - First Name:ELLY
Other - Middle Name:
Other - Last Name:STEEL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DMD, MPH
Mailing Address - Street 1:300 MOORESVILLE RD
Mailing Address - Street 2:
Mailing Address - City:KANNAPOLIS
Mailing Address - State:NC
Mailing Address - Zip Code:28081-0304
Mailing Address - Country:US
Mailing Address - Phone:704-920-1000
Mailing Address - Fax:704-934-4270
Practice Address - Street 1:280 CONCORD PKWY S STE 110A
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28027-2704
Practice Address - Country:US
Practice Address - Phone:704-920-1070
Practice Address - Fax:704-934-4270
Is Sole Proprietor?:No
Enumeration Date:2015-07-02
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC100891223G0001X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1023491503Medicaid