Gregory L Stine in Columbia - Pediatric Dentistry

Gregory L Stine - NPI 1578729133

Gregory L Stine is a Pediatric Dentistry in Columbia, Missouri. Gregory L Stine practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Gregory L Stine is 1578729133. The last update date is 2008-08-04.

Gregory L Stine's current location address is 1000 W Nifong Blvd, Columbia, Missouri. You can contact this provider via phone number 5738741990 and fax number 5738741923. The mailing address for Gregory L Stine is 1000 W Nifong Blvd, Columbia, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Gregory L Stine
Address 1000 W Nifong Blvd, Columbia, Missouri
Phone Number 5738741990
Fax Number 5738741923
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1578729133
Provider Enumeration Date 2008-08-04
Last Updated Date 2008-08-04

Provider Mailing Address Detail

Address 1000 W Nifong Blvd
City Columbia
State Missouri (MO)
Post Code 652035615
Phone Number 5738741990
Fax Number 5738741923

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
Taxonomy 1223P0221X
Licence No 16119
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.

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FAQs about Gregory L Stine

What is the unique provider identifier assigned to Gregory L Stine?

The Gregory L Stine has been issued the NPI (National Provider Identifier) 1578729133 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Gregory L Stine's facilities are geographically located?

The facilities of Gregory L Stine are physically situated at the following location: 1000 W Nifong Blvd, Columbia, MO, 652035615.

What is the Gregory L Stine's specialty and taxonomy code?

The Gregory L Stine's specialty is Pediatric Dentistry, and the corresponding taxonomy code is 1223P0221X.

On what date did the Gregory L Stine receive its 1578729133 assignment from the Centers for Medicare & Medicaid Services?

The Gregory L Stine was assigned its 1578729133 by the Centers for Medicare & Medicaid Services on 2008-08-04.

When was the information regarding Gregory L Stine, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Gregory L Stine, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-08-04.

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