Provider Demographics
NPI:1679185045
Name:DANIEL G STAMOS DDS PC
Entity Type:Organization
Organization Name:DANIEL G STAMOS DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:STAMOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-452-0900
Mailing Address - Street 1:5400 N OAK TRFY STE 201
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64118-4690
Mailing Address - Country:US
Mailing Address - Phone:816-452-0900
Mailing Address - Fax:816-452-1923
Practice Address - Street 1:5400 N OAK TRFY STE 201
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64118-4690
Practice Address - Country:US
Practice Address - Phone:816-452-0900
Practice Address - Fax:816-452-1923
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-18
Last Update Date:2020-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty