Susan Mary Stovall in Clackamas - Denturist
Susan Mary Stovall - NPI 1487851614
Susan Mary Stovall is a Denturist in Clackamas, Oregon. Susan Mary Stovall practices all healthcare services and medical treatments related to Denturist. The NPI Number for Susan Mary Stovall is 1487851614. The last update date is 2007-07-08.
Susan Mary Stovall's current location address is 16130 Se 82nd Drive, Clackamas, Oregon. You can contact this provider via phone number 5036576500. The mailing address for Susan Mary Stovall is 16130 Se 82nd Drive, Clackamas, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Mary Stovall |
|---|---|
| Address | 16130 Se 82nd Drive, Clackamas, Oregon |
| Phone Number | 5036576500 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DENTURIST |
NPI Number Detail
| NPI Number | 1487851614 |
|---|---|
| Provider Enumeration Date | 2007-06-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 16130 Se 82nd Drive |
|---|---|
| City | Clackamas |
| State | Oregon (OR) |
| Post Code | 970159587 |
| Phone Number | 5036576500 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Denturist |
|---|---|
| Taxonomy | 122400000X |
| Licence No | DT DO 981893 |
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Definition: A denturist is a licensed professional that serves patients with removable dental prosthetic oral health needs. A licensed denturist is trained in removable dental prosthetics and the fabrication of such devices. |
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What is the Susan Mary Stovall's 1487851614?
The Susan Mary Stovall's NPI (National Provider Identifier) Number is 1487851614. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Susan Mary Stovall is geographically located?
The Susan Mary Stovall is physically situated at the following location: 16130 Se 82Nd Drive, Clackamas, OR, 970159587.
What is the Susan Mary Stovall's specialty and taxonomy code?
The Susan Mary Stovall's specialty is Denturist, and the corresponding taxonomy code is 122400000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1487851614 to Susan Mary Stovall?
The Centers for Medicare & Medicaid Services originally issued the 1487851614 to Susan Mary Stovall on 2007-06-29.
When was the Susan Mary Stovall's information last updated?
The Susan Mary Stovall's information was last updated on 2007-07-08.
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