Provider Demographics
NPI:1952536732
Name:STEFFENS, RICHARD ALAN (DDS)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:ALAN
Last Name:STEFFENS
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 1:360 W. BUTTERFIELD RD
Mailing Address - Street 2:SUITE 330
Mailing Address - City:ELMHURST
Mailing Address - State:IL
Mailing Address - Zip Code:60126
Mailing Address - Country:US
Mailing Address - Phone:630-530-7998
Mailing Address - Fax:630-530-2684
Practice Address - Street 1:135 N ADDISON AVE STE B
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:IL
Practice Address - Zip Code:60126-2819
Practice Address - Country:US
Practice Address - Phone:630-530-7998
Practice Address - Fax:630-530-2684
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-21
Last Update Date:2013-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019.0163701223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice