Provider Demographics
NPI:1376575092
Name:STEARNS, JEFFREY WOODARD (DMD, MD)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:WOODARD
Last Name:STEARNS
Suffix:
Gender:M
Credentials:DMD, MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7475 DAKIN ST STE 643
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80221-6920
Mailing Address - Country:US
Mailing Address - Phone:303-429-4800
Mailing Address - Fax:
Practice Address - Street 1:7475 DAKIN ST STE 643
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80221-6920
Practice Address - Country:US
Practice Address - Phone:303-429-4800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO90911223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery