Dr. Stephen C. Waller, Dds, Llc is a Dental Clinic in Ellington, Missouri. It is located at 115 Walnut St, Ellington, MO and its contact number is 573-756-4344. The authorized person for Dr. Stephen C. Waller, Dds, Llc is Dr. Stephen C. Waller
who is Dentist of the clinic and their contact number is 573-756-4344. The primary license number for Dr. Stephen C. Waller, Dds, Llc is 1999135982 (General Practice) in Missouri. Dr. Stephen C. Waller, Dds, Llc Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Dr. Stephen C. Waller, Dds, Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Dr. Stephen C. Waller, Dds, Llc
Specialization:
General Practice Dentistry
Clinic Address:
115 Walnut St, Ellington, Missouri, 63638
Phone:
573-756-4344
Fax:
573-756-4699
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Stephen C. Waller
Position:
Dentist
Contact Number:
573-756-4344
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Dr. Stephen C. Waller, Dds, Llc clinic are as mentioned below.
NPI Number:
1992984173
NPI Enumeration Date:
24 Oct, 2007
NPI Last Update On:
22 Jan, 2009
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Stephen C. Waller, Dds, Llc are as mentioned below.
Specialization
License Number
State
Status
General Practice
1999135982
Missouri
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1578574240
Other
Missouri
Type 1 Npi Number
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Dr. Stephen C. Waller, Dds, Llc Po Box 157, 110 S. 2nd St Ellington, Missouri
Zip:
63638-0157
Phone Number:
573-663-2313
Fax Number:
573-663-2322
Patients can reach Dr. Stephen C. Waller, Dds, Llc at 115 Walnut St, Ellington, Missouri or can call to book an appointment on 573-756-4344. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.