Dr Stephen C. Waller, DDS, LLC
Dr Stephen C. Waller, DDS, LLC is a General Practice Dentistry in Ellington, Missouri. Licensed in Missouri. Registered with an NPI since 2007.
- Licensed in
- MO
- In the registry since
- 2007
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
115 Walnut StEllington, MO 63638
Phone: (573) 756-4344
Fax: (573) 756-4699
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 1999135982 (MO) |
|---|
Record details
| NPI number | 1992984173 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Stephen Waller — Dentist · (573) 756-4344 |
| NPI enumerated | October 24, 2007 |
| Last updated in NPPES | January 22, 2009 |
| Mailing address | Po Box 157, 110 S. 2nd St, Ellington, MO 63638-0157 |
Other providers in Ellington
-
Bradley R Daniel, DMD
115 W Walnut St, Ellington, MO 63638-9300 · (573) 663-3177