Gerald Lane Stephenson in Springfield - Endodontics
Gerald Lane Stephenson - NPI 1386795193
Gerald Lane Stephenson is a Endodontics in Springfield, Missouri. Gerald Lane Stephenson practices all healthcare services and medical treatments related to Endodontics. The NPI Number for Gerald Lane Stephenson is 1386795193. The last update date is 2007-07-08.
Gerald Lane Stephenson's current location address is 3331 E. Montclair, Springfield, Missouri. You can contact this provider via phone number 4178863636 and fax number 4174471554. The mailing address for Gerald Lane Stephenson is 3331 E. Montclair, Springfield, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gerald Lane Stephenson |
|---|---|
| Address | 3331 E. Montclair, Springfield, Missouri |
| Phone Number | 4178863636 |
| Fax Number | 4174471554 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1386795193 |
|---|---|
| Provider Enumeration Date | 2007-01-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3331 E. Montclair |
|---|---|
| City | Springfield |
| State | Missouri (MO) |
| Post Code | 65804 |
| Phone Number | 4178863636 |
| Fax Number | 4174471554 |
Provider's Primary Taxonomy Detail
| Speciality | Endodontics |
|---|---|
| Taxonomy | 1223E0200X |
| Licence No | 15601 |
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Definition: The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the eti |
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What is the unique identifier code issued to Gerald Lane Stephenson by the Centers for Medicare & Medicaid Services?
The Gerald Lane Stephenson has been assigned the NPI (National Provider Identifier) 1386795193. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Gerald Lane Stephenson is located?
The Gerald Lane Stephenson is situated at the following address: 3331 E. Montclair, Springfield, MO, 65804.
What is Gerald Lane Stephenson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Gerald Lane Stephenson's specialized field of practice is Endodontics, and the corresponding taxonomy code that categorizes this area of specialization is 1223E0200X.
On what date did the Centers for Medicare & Medicaid Services issue the 1386795193 to Gerald Lane Stephenson?
The Gerald Lane Stephenson received its 1386795193 assignment from the Centers for Medicare & Medicaid Services on 2007-01-16.
As of what date were the details related to Gerald Lane Stephenson most recently updated or revised?
The information pertaining to Gerald Lane Stephenson, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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