Individual
DR. KIMBERLY ANN STECKLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
306 E STATE ROUTE 68, HAUBSTADT, IN 47639
(812) 768-6925
Mailing address
306 E STATE ROUTE 68, HAUBSTADT, IN 47639
(812) 768-6925
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12012034A
IN
1223G0001X
General Practice Dentistry
12012034A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08506
LICENSE
IA
01
—
12012034A
INDIANA DENTAL LICENSE
IN
Enumeration date
07/21/2006
Last updated
04/16/2021
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