Dr. Stephen C. Waller, DDS, LLC
General Practice Dentistry · Ellington, MO
Practice location
115 Walnut StEllington, MO 63638
- Phone
- (573) 756-4344
- Fax
- (573) 756-4699
NPI record
- NPI
- 1992984173
- Entity type
- Organization (Type 2)
- Enumeration date
- October 24, 2007
- Last updated
- January 22, 2009
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Dentistry Primary | 1223G0001X |
1999135982 | MO |
Mailing address
PO Box 157110 S. 2ND St
Ellington, MO 63638-0157
- Phone
- (573) 663-2313
- Fax
- (573) 663-2322
Authorized official
- Name
- Dr. Stephen C. Waller, D.D.S.
- Title
- Dentist
- Phone
- (573) 756-4344
About Dr. Stephen C. Waller, DDS, LLC
Dr. Stephen C. Waller, DDS, LLC is a healthcare organization registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 115 Walnut St, Ellington, MO 63638. The NPI number 1992984173 was assigned on October 24, 2007 and the record was last updated on January 22, 2009.
Dr. Stephen C. Waller, DDS, LLC lists a license in the registry: #1999135982 (MO) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.
The authorized official for this organization is Dr. Stephen C. Waller, D.D.S., Dentist.
Frequently asked questions
What is the NPI number of Dr. Stephen C. Waller, DDS, LLC?
The NPI number is 1992984173.
What is the phone number of Dr. Stephen C. Waller, DDS, LLC?
The phone number listed for the practice location is (573) 756-4344.
Where is Dr. Stephen C. Waller, DDS, LLC located?
115 Walnut St, Ellington, MO 63638.
What is the taxonomy code for Dr. Stephen C. Waller, DDS, LLC?
The primary taxonomy code is 1223G0001X – General Practice Dentistry.
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.
Other General Practice Dentistry providers in Ellington
- Bhaskar Gupta, DDS110 S 2ND St
- Ibukun T. Akinyede, DDS215 Walnut Street
- Bradley R. Daniel, DMD115 W Walnut St