Provider Demographics
NPI:1982706420
Name:FILES, STEPHANIE SELECMAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:STEPHANIE
Middle Name:SELECMAN
Last Name:FILES
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:STEPHANIE
Other - Middle Name:JEANETTE
Other - Last Name:SELECMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:1429 VILLAGE DR
Mailing Address - Street 2:
Mailing Address - City:SAINT JOSEPH
Mailing Address - State:MO
Mailing Address - Zip Code:64506-2459
Mailing Address - Country:US
Mailing Address - Phone:816-233-8668
Mailing Address - Fax:816-233-5665
Practice Address - Street 1:1429 VILLAGE DR
Practice Address - Street 2:
Practice Address - City:SAINT JOSEPH
Practice Address - State:MO
Practice Address - Zip Code:64506-2459
Practice Address - Country:US
Practice Address - Phone:816-233-8668
Practice Address - Fax:816-233-5665
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-04
Last Update Date:2016-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO0156021223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAX0738842OtherBLUE CROSS BLUE SHIELD CA
AL740-09253OtherBLUE CROSS BLUE SHIELD AL
MO21204011OtherBLUE CROSS BLUE SHIELD KC
MODELTA DENTALOtherINSURANCE I.D. NUMBER
PA000626516OtherUNITED CONCORDIA ID #
MI710200000000MOOtherBLUE CROSS BLUE SHIELD MI
KS702950OtherBLUE CROSS BLUE SHIELD KS