Robert Edward Stover in Puyallup - Prosthodontics
Robert Edward Stover - NPI 1255324893
Robert Edward Stover is a Prosthodontics in Puyallup, Washington. Robert Edward Stover practices all healthcare services and medical treatments related to Prosthodontics. The NPI Number for Robert Edward Stover is 1255324893. The last update date is 2020-09-14.
Robert Edward Stover's current location address is 11407 136th Ave E, Puyallup, Washington. You can contact this provider via phone number 3604561200 and fax number 3604560213. The mailing address for Robert Edward Stover is 11407 136th Ave E, Puyallup, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert Edward Stover |
|---|---|
| Address | 11407 136th Ave E, Puyallup, Washington |
| Phone Number | 3604561200 |
| Fax Number | 3604560213 |
| Sole Proprietor | N |
| Credentials | DDS MS |
NPI Number Detail
| NPI Number | 1255324893 |
|---|---|
| Provider Enumeration Date | 2005-08-30 |
| Last Updated Date | 2020-09-14 |
Provider Mailing Address Detail
| Address | 11407 136th Ave E |
|---|---|
| City | Puyallup |
| State | Washington (WA) |
| Post Code | 983742427 |
| Phone Number | 3604561200 |
| Fax Number | 3604560213 |
Provider's Primary Taxonomy Detail
| Speciality | Prosthodontics |
|---|---|
| Taxonomy | 1223P0700X |
| Licence No | 6468 |
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Definition: That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial |
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What is the unique 10-digit identifier code issued to Robert Edward Stover by the Centers for Medicare & Medicaid Services?
The Robert Edward Stover has been assigned the NPI (National Provider Identifier) 1255324893 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Robert Edward Stover?
The Robert Edward Stover is situated at 11407 136Th Ave E, in the city of Puyallup, state of WA, with the zip code 983742427.
What is Robert Edward Stover'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 Robert Edward Stover is Prosthodontics, and the taxonomy classification code that categorizes this area of expertise is 1223P0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1255324893 to Robert Edward Stover?
The Centers for Medicare & Medicaid Services originally issued the 1255324893 to Robert Edward Stover on 2005-08-30.
When was the Robert Edward Stover's information last updated?
The Robert Edward Stover's information was last updated on 2020-09-14.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY