| Stephen C. Vantasell, D.d.s.,p.c. | |
|
51 W Adams Ave Fairfield IA 52556-3471 | |
| (641) 472-3158 | |
| (641) 469-5111 |
| Full Name | Stephen C. Vantasell, D.d.s.,p.c. |
|---|---|
| Speciality | Dentist |
| Location | 51 W Adams Ave, Fairfield, Iowa |
| Authorized Official Name and Position | Stephen C Vantasell (PRESIDENT) |
| Authorized Official Contact | 6414723158 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen C. Vantasell, D.d.s.,p.c. 51 W Adams Ave Fairfield IA 52556-3471 Ph: (641) 472-3158 | Stephen C. Vantasell, D.d.s.,p.c. 51 W Adams Ave Fairfield IA 52556-3471 Ph: (641) 472-3158 |
| NPI Number | 1336325844 |
|---|---|
| Provider Enumeration Date | 01/15/2008 |
| Last Update Date | 07/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336325844 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5802 (Iowa) | Primary |
| 122300000X | Dentist | 6820 (Iowa) | Secondary |
Roth & Norton Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 N B St, Fairfield, IA 52556 Phone: 641-472-3044 |