Phillip L Stelly Dds in Carencro - Dentist

Phillip L Stelly Dds - NPI 1932227113

Phillip L Stelly Dds is a Dentist in Carencro, Louisiana. Phillip L Stelly Dds practices all healthcare services and medical treatments related to Dentist. The NPI Number for Phillip L Stelly Dds is 1932227113. The last update date is 2007-10-01.

Phillip L Stelly Dds's current location address is 258 Arceneaux Rd, Carencro, Louisiana. You can contact this provider via phone number 3378969132 and fax number 3378967852. The mailing address for Phillip L Stelly Dds is 258 Arceneaux Rd, Carencro, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Organization Phillip L Stelly Dds
Address 258 Arceneaux Rd, Carencro, Louisiana
Phone Number 3378969132
Fax Number 3378967852
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER DENT
Authorized Official Name Stelly L Phillip
Credentials DDS
Telephone Number 3378963267

NPI Number Detail

NPI Number 1932227113
Provider Enumeration Date 2007-03-27
Last Updated Date 2007-10-01

Provider Mailing Address Detail

Address 258 Arceneaux Rd
City Carencro
State Louisiana (LA)
Post Code 70520
Phone Number 3378969132
Fax Number 3378967852

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 4453
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1844535 LA --

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FAQs about Phillip L Stelly Dds

What is the unique identifier code issued to Phillip L Stelly Dds by the Centers for Medicare & Medicaid Services (CMS)?

The Phillip L Stelly Dds has been assigned the NPI (National Provider Identifier) 1932227113. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical location address where Phillip L Stelly Dds's facilities are situated?

The facilities of Phillip L Stelly Dds are physically located at the following address: 258 Arceneaux Rd, Carencro, LA, 70520.

What is Phillip L Stelly Dds's specialized field of practice, and what is the corresponding taxonomy classification code?

The Phillip L Stelly Dds's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.

On what date did Phillip L Stelly Dds receive its 1932227113 assignment from the Centers for Medicare & Medicaid Services?

The Phillip L Stelly Dds was assigned its 1932227113 on 2007-03-27, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Phillip L Stelly Dds, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Phillip L Stelly Dds, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-10-01.

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