Derek S. Stallard

Dentist · Saint Cloud, FL

Individual Active NPI

NPI number 1083107882

Practice location

1950 S Narcoossee Rd
Saint Cloud, FL 34771-7204
Phone
(217) 540-5100

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NPI record

NPI
1083107882
Entity type
Individual (Type 1)
Enumeration date
June 7, 2018
Last updated
June 7, 2018
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X DN23428 FL

Mailing address

3100 W Rolling Hills Cir Apt 209
Davie, FL 33328-1955
Phone
(423) 677-6940

About Derek Stallard

Derek S. Stallard is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 1950 S Narcoossee Rd, Saint Cloud, FL 34771-7204. The NPI number 1083107882 was assigned on June 7, 2018 and the record was last updated on June 7, 2018.

Derek Stallard lists a license in the registry: #DN23428 (FL) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Derek S. Stallard?

The NPI number is 1083107882.

What is the phone number of Derek Stallard?

The phone number listed for the practice location is (217) 540-5100.

Where is Derek Stallard located?

1950 S Narcoossee Rd, Saint Cloud, FL 34771-7204.

What is the taxonomy code for Derek Stallard?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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