Scott Richard Stanke, DDS
Periodontics · Peru, IL
NPI number
1417060856
Practice location
2050 Marquette RdSuite 400
Peru, IL 61354-1597
- Phone
- (815) 224-4144
- Fax
- (815) 224-4192
NPI record
- NPI
- 1417060856
- Entity type
- Individual (Type 1)
- Enumeration date
- August 17, 2006
- Last updated
- July 8, 2007
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Periodontics Primary | 1223P0300X |
— | IL |
About Dr. Stanke
Scott Richard Stanke, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Periodontics (code 1223P0300X). The practice location is 2050 Marquette Rd, Suite 400, Peru, IL 61354-1597. The NPI number 1417060856 was assigned on August 17, 2006 and the record was last updated on July 8, 2007.
Frequently asked questions
What is the NPI number of Scott Richard Stanke, DDS?
The NPI number is 1417060856.
What is the phone number of Dr. Stanke?
The phone number listed for the practice location is (815) 224-4144.
Where is Dr. Stanke located?
2050 Marquette Rd, Suite 400, Peru, IL 61354-1597.
What is the taxonomy code for Dr. Stanke?
The primary taxonomy code is 1223P0300X – Periodontics.
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.