Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mark Stephen Stumphy, DMD

Individual provider General Practice Dentistry · NPI 1245607209

Mark Stephen Stumphy, DMD is a Dentist in Davenport, Iowa. Graduated from Univ of Illinois at Chicago College of Dentistry in 2015, 11 years ago. Licensed in Illinois.

Years since qualifying
11
Trained at
Univ of Illinois at Chicago College of Dentistry
Licensed in
IL
In the registry since
2015
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

125 Scott St
Davenport, IA 52801-1130
Phone: (563) 336-3000
Fax: (563) 336-3229
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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 019030322 (IL)

Record details

NPI number1245607209
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedAugust 26, 2015
Last updated in NPPESSeptember 20, 2022
Certification dateSeptember 20, 2022
Mailing address500 W River Dr, Davenport, IA 52801-1014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDENTIST
Medical schoolUNIV OF ILLINOIS AT CHICAGO COLLEGE OF DENTISTRY
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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