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DR. STEPHEN C. WALLER, DDS, LLC
NPI 1992984173
Dentist - General Practice in Ellington, MO

Active since October 24, 2007
115 WALNUT ST, ELLINGTON, MO 63638(573) 756-4344(573) 756-4699 Get Directions Write a Review

NPPES record last updated: January 22, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Stephen C. Waller, Dds, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. STEPHEN C. WALLER, DDS, LLC (NPI 1992984173) is a healthcare organization registered as a general practice in Ellington, Missouri and active in the NPI registry since October 2007. The organization lists Stephen C. Waller, Dentist, as its authorized official.

NPPES Registry Identity

NPI1992984173
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDR. STEPHEN C. WALLER, DDS, LLC
Location Address115 WALNUT STEllington, MO 63638
Mailing AddressPo Box 157, 110 S. 2nd StEllington, MO 63638-0157 · (573) 663-2313 · Fax (573) 663-2322
Phone(573) 756-4344
Fax(573) 756-4699
Organization SubpartNo
Authorized OfficialStephen C. WallerDentist · (573) 756-4344
Enumeration DateOctober 24, 2007
Last NPPES UpdateJanuary 22, 2009
✔ NPI 1992984173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MO · 1999135982
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
115 WALNUT ST, Ellington, MO 63638
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Other Identifiers 1

Other1578574240MO · Type 1 Npi Number

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dr. Stephen C. Waller, Dds, LLC's NPI number?

The NPI number for Dr. Stephen C. Waller, Dds, LLC is 1992984173. It was assigned to this organization in the NPPES registry on October 24, 2007.

Where is Dr. Stephen C. Waller, Dds, LLC located?

Dr. Stephen C. Waller, Dds, LLC is located at 115 Walnut St, Ellington, MO 63638. The listed phone number is (573) 756-4344.

What is Dr. Stephen C. Waller, Dds, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Dr. Stephen C. Waller, Dds, LLC was last updated on January 22, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.