# DR. KIMBERLY ANN STECKLER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1851311781
- **Gender:** F
- **Credential:** DDS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 12012034A | IN | Yes |
| 1223G0001X | General Practice Dentistry | 12012034A | IN | — |

## Other

- **Enumeration date:** 07/21/2006
- **Last updated:** 04/16/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 08506 | LICENSE | IA |
| 01 | — | 12012034A | INDIANA DENTAL LICENSE | IN |
