Derek S Stallard
Derek S Stallard is a Dentist in Saint Cloud, Florida. Licensed in Florida. Registered with an NPI since 2018.
- Licensed in
- FL
- In the registry since
- 2018
Practice location Address checks out
1950 S Narcoossee RdSaint Cloud, FL 34771-7204
Phone: (217) 540-5100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence DN23428 (FL) |
|---|
Record details
| NPI number | 1083107882 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 7, 2018 |
| Last updated in NPPES | June 7, 2018 |
| Mailing address | 3100 W Rolling Hills Cir Apt 209, Davie, FL 33328-1955 |
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1950 S Narcoossee Rd, Saint Cloud, FL 34771-7204 · (217) 540-5100