John C Stovall is a Dentist in Baton Rouge, Louisiana. John C Stovall practices all healthcare services and medical treatments related to Dentist. The NPI Number for John C Stovall is 1558392258. The last update date is 2007-07-08.
John C Stovall's current location address is 642 Shadows Ln, Baton Rouge, Louisiana. You can contact this provider via phone number 2259279277 and fax number 2259279930. The mailing address for John C Stovall is 642 Shadows Ln, Baton Rouge, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John C Stovall |
|---|---|
| Address | 642 Shadows Ln, Baton Rouge, Louisiana |
| Phone Number | 2259279277 |
| Fax Number | 2259279930 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1558392258 |
|---|---|
| Provider Enumeration Date | 2006-07-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 642 Shadows Ln |
|---|---|
| City | Baton Rouge |
| State | Louisiana (LA) |
| Post Code | 708066532 |
| Phone Number | 2259279277 |
| Fax Number | 2259279930 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 2879 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| G5120 | LA | BLUE CROSS |
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What is the John C Stovall's unique identification number?
The John C Stovall has been assigned the NPI (National Provider Identifier) Number 1558392258 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where John C Stovall is located?
The John C Stovall is situated at the following address: 642 Shadows Ln, Baton Rouge, LA, 708066532.
What is the John C Stovall's specialty and taxonomy code?
The John C Stovall's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
On what date did the John C Stovall receive the assignment of its 1558392258 from the Centers for Medicare & Medicaid Services?
The John C Stovall was issued its 1558392258 by the Centers for Medicare & Medicaid Services on 2006-07-05.
When was the John C Stovall's information last updated?
The John C Stovall's information was last updated on 2007-07-08.
NPI Number: 1982607784
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