Stephen Fredrick Paul in Wildwood - Dentist
Stephen Fredrick Paul - NPI 1306835160
Stephen Fredrick Paul is a Dentist in Wildwood, Missouri. Stephen Fredrick Paul practices all healthcare services and medical treatments related to Dentist. The NPI Number for Stephen Fredrick Paul is 1306835160. The last update date is 2007-07-08.
Stephen Fredrick Paul's current location address is 2428 Indian Tree Run, Wildwood, Missouri. You can contact this provider via phone number 6364583535. The mailing address for Stephen Fredrick Paul is 2428 Indian Tree Run, Wildwood, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephen Fredrick Paul |
|---|---|
| Address | 2428 Indian Tree Run, Wildwood, Missouri |
| Phone Number | 6364583535 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1306835160 |
|---|---|
| Provider Enumeration Date | 2005-10-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2428 Indian Tree Run |
|---|---|
| City | Wildwood |
| State | Missouri (MO) |
| Post Code | 630381516 |
| Phone Number | 6364583535 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 12057 |
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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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What is the unique 10-digit identifier code issued to Stephen Fredrick Paul by the Centers for Medicare & Medicaid Services?
The Stephen Fredrick Paul has been assigned the NPI (National Provider Identifier) 1306835160 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Stephen Fredrick Paul is located?
The Stephen Fredrick Paul is situated at the following address: 2428 Indian Tree Run, Wildwood, MO, 630381516.
What is Stephen Fredrick Paul's specialized field of practice, and what is the corresponding taxonomy classification code?
The Stephen Fredrick Paul's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1306835160 to Stephen Fredrick Paul?
The Centers for Medicare & Medicaid Services assigned the 1306835160 to Stephen Fredrick Paul on 2005-10-14.
As of what date were the Stephen Fredrick Paul's details last updated?
The information pertaining to the Stephen Fredrick Paul, including its address, specialty, and other details, was most recently updated on 2007-07-08.