Provider Demographics
NPI:1174817795
Name:STEINER, MEGAN (DDS)
Entity type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:
Last Name:STEINER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:MEGAN
Other - Middle Name:
Other - Last Name:HARRIMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:1504 CRESTON PARK DRIVE
Mailing Address - Street 2:
Mailing Address - City:JANESVILLE
Mailing Address - State:WI
Mailing Address - Zip Code:53545
Mailing Address - Country:US
Mailing Address - Phone:608-754-7726
Mailing Address - Fax:608-754-8919
Practice Address - Street 1:1504 CRESTON PARK DRIVE
Practice Address - Street 2:
Practice Address - City:JANESVILLE
Practice Address - State:WI
Practice Address - Zip Code:53545
Practice Address - Country:US
Practice Address - Phone:608-754-7726
Practice Address - Fax:608-754-8919
Is Sole Proprietor?:No
Enumeration Date:2011-05-31
Last Update Date:2011-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI6700-151223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice