Michael Stufflebeam in Marshalltown - Pediatric Dentistry

Michael Stufflebeam - NPI 1700950722

Michael Stufflebeam is a Pediatric Dentistry in Marshalltown, Iowa. Michael Stufflebeam practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Michael Stufflebeam is 1700950722. The last update date is 2007-07-09.

Michael Stufflebeam's current location address is 207 E Church St, Marshalltown, Iowa. You can contact this provider via phone number 6417529550 and fax number 6417529517. The mailing address for Michael Stufflebeam is 207 E Church St, Marshalltown, Iowa. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael Stufflebeam
Address 207 E Church St, Marshalltown, Iowa
Phone Number 6417529550
Fax Number 6417529517
Sole Proprietor N
Credentials D.D.S

NPI Number Detail

NPI Number 1700950722
Provider Enumeration Date 2006-11-20
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 207 E Church St
City Marshalltown
State Iowa (IA)
Post Code 501582972
Phone Number 6417529550
Fax Number 6417529517

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
Taxonomy 1223P0221X
Licence No 8055
Definition:
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
264416 IA --

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FAQs about Michael Stufflebeam

What is the Michael Stufflebeam's unique identification number?

The Michael Stufflebeam has been assigned the NPI (National Provider Identifier) Number 1700950722 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 Michael Stufflebeam is located?

The Michael Stufflebeam is situated at the following address: 207 E Church St, Marshalltown, IA, 501582972.

What is the Michael Stufflebeam's specialty and taxonomy code?

The Michael Stufflebeam's specialty is Pediatric Dentistry, and the corresponding taxonomy code is 1223P0221X.

On what date did the Michael Stufflebeam receive its 1700950722 assignment from the Centers for Medicare & Medicaid Services?

The Michael Stufflebeam was assigned its 1700950722 by the Centers for Medicare & Medicaid Services on 2006-11-20.

When was the Michael Stufflebeam's information last updated?

The Michael Stufflebeam's information was last updated on 2007-07-09.

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