Provider Demographics
NPI:1255083853
Name:JOSHUA K STAMPER DMD PLLC
Entity type:Organization
Organization Name:JOSHUA K STAMPER DMD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHAWN
Authorized Official - Middle Name:MATTHEW
Authorized Official - Last Name:STRINGER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:270-926-7272
Mailing Address - Street 1:920 FREDERICA ST STE 301
Mailing Address - Street 2:
Mailing Address - City:OWENSBORO
Mailing Address - State:KY
Mailing Address - Zip Code:42301-3078
Mailing Address - Country:US
Mailing Address - Phone:270-926-7272
Mailing Address - Fax:
Practice Address - Street 1:920 FREDERICA ST STE 301
Practice Address - Street 2:
Practice Address - City:OWENSBORO
Practice Address - State:KY
Practice Address - Zip Code:42301-3078
Practice Address - Country:US
Practice Address - Phone:270-926-7272
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-25
Last Update Date:2022-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental