Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. STEPHEN C. WALLER, DDS, LLC
Active OrganizationDR. STEPHEN C. WALLER, DDS, LLC is a General Dentistry organization located in ELLINGTON, Missouri. NPI 1992984173 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · ELLINGTON, MO
Registration Details
- NPI Number
- 1992984173
- Provider Type
- Organization
- NPI Issued
- Oct 24, 2007 (18.661787498745 yrs)
- Last Updated
- Jan 22, 2009
- License
-
1999135982 (MO)
Practice Information
- Address
-
115 WALNUT STELLINGTON, MO, 63638Browse MO providers · Browse ZIP 63638
- Phone
- 5737564344
- Fax
- 5737564699
- Primary Specialty
-
General Dentistry
1223G0001X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.