James H Stanford Dds Pc | |
663 Big Bend Rd Ballwin MO 63021-7723 | |
(636) 256-3559 | |
(636) 256-9879 |
Full Name | James H Stanford Dds Pc |
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Speciality | Dentist - General Practice |
Location | 663 Big Bend Rd, Ballwin, Missouri |
Authorized Official Name and Position | James H Stanford (DENTIST) |
Authorized Official Contact | 6362563559 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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James H Stanford Dds Pc Po Box 137 Ballwin MO 63022-0137 Ph: (636) 256-3559 | James H Stanford Dds Pc 663 Big Bend Rd Ballwin MO 63021-7723 Ph: (636) 256-3559 |
NPI Number | 1114020385 |
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Provider Enumeration Date | 09/06/2006 |
Last Update Date | 03/21/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114020385 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 014346 (Missouri) | Primary |
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