Dr Kevin Joseph Stock, DDS is a
Dentist based in Earth City, Missouri. Dr Kevin Joseph Stock is licensed to practice in Missouri (license number 2013017372) and his current practice location is
4390 Green Ash Dr, Earth City, Missouri. He can be reached at his office (for appointments etc.) via phone at
(314) 537-6815.
NPI number for Dr Kevin Joseph Stock is 1720411358 and his current mailing address is 4390 Green Ash Dr, Earth City, Missouri. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1720411358.
Healthcare Provider's Profile
| Full Name | Dr Kevin Joseph Stock |
|---|
| Gender | Male |
|---|
| Speciality | Dentist |
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| Location | 4390 Green Ash Dr, Earth City, Missouri |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1720411358
- Provider Enumeration Date: 08/19/2013
- Last Update Date: 09/19/2013
Medical Identifiers
Medical identifiers for Dr Kevin Joseph Stock such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720411358 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 2013017372 (Missouri) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 2013017372 (Missouri) | Secondary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | 2013017372 (Missouri) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kevin Joseph Stock is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Kevin Joseph Stock, DDS
4390 Green Ash Dr,
Earth City, MO 63045-1219
Ph: (314) 537-6815 | Dr Kevin Joseph Stock, DDS
4390 Green Ash Dr,
Earth City, MO 63045-1219
Ph: (314) 537-6815 |
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