Provider Demographics
NPI:1952515108
Name:STEELE, HERSHELL GENE (DDS)
Entity type:Individual
Prefix:DR
First Name:HERSHELL
Middle Name:GENE
Last Name:STEELE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25501 TROST BLVD LOT 14-02
Mailing Address - Street 2:
Mailing Address - City:BONITA SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34135-6422
Mailing Address - Country:US
Mailing Address - Phone:239-980-3620
Mailing Address - Fax:
Practice Address - Street 1:27499 RIVERVIEW CENTER BLVD STE 238
Practice Address - Street 2:
Practice Address - City:BONITA SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:34134-4335
Practice Address - Country:US
Practice Address - Phone:850-920-7520
Practice Address - Fax:239-345-9079
Is Sole Proprietor?:No
Enumeration Date:2007-05-09
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN159361223G0001X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice