Stefanie Brooke Dougherty in Saint Louis - Dentist
Stefanie Brooke Dougherty - NPI 1184601965
Stefanie Brooke Dougherty is a Dentist in Saint Louis, Missouri. Stefanie Brooke Dougherty practices all healthcare services and medical treatments related to Dentist. The NPI Number for Stefanie Brooke Dougherty is 1184601965. The last update date is 2013-10-29.
Stefanie Brooke Dougherty's current location address is 2901 Dougherty Ferry Rd, Saint Louis, Missouri. You can contact this provider via phone number 6368251000 and fax number 6368251040. The mailing address for Stefanie Brooke Dougherty is 2901 Dougherty Ferry Rd, Saint Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
Provider Name | Stefanie Brooke Dougherty |
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Address | 2901 Dougherty Ferry Rd, Saint Louis, Missouri |
Phone Number | 6368251000 |
Fax Number | 6368251040 |
Sole Proprietor | N |
Credentials | D.M.D., M. |
NPI Number Detail
NPI Number | 1184601965 |
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Provider Enumeration Date | 2005-12-22 |
Last Updated Date | 2013-10-29 |
Provider Mailing Address Detail
Address | 2901 Dougherty Ferry Rd |
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City | Saint Louis |
State | Missouri (MO) |
Post Code | 631223368 |
Phone Number | 6368251000 |
Fax Number | 6368251040 |
Provider's Primary Taxonomy Detail
Speciality | Dentist |
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Taxonomy | 122300000X |
Licence No | 2004016350 |
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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What is the unique provider identifier assigned to Stefanie Brooke Dougherty?
The Stefanie Brooke Dougherty has been issued the NPI (National Provider Identifier) 1184601965 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Stefanie Brooke Dougherty's physical address?
The Stefanie Brooke Dougherty is physically located at 2901 Dougherty Ferry Rd, in the city of Saint Louis, MO, with the postal code 631223368.
What is Stefanie Brooke Dougherty's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Stefanie Brooke Dougherty is Dentist, and the taxonomy classification code that categorizes this area of expertise is 122300000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1184601965 to Stefanie Brooke Dougherty?
The Centers for Medicare & Medicaid Services assigned the 1184601965 to Stefanie Brooke Dougherty on 2005-12-22.
As of what date was the information pertaining to Stefanie Brooke Dougherty, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Stefanie Brooke Dougherty, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2013-10-29.