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Individual
DR. CARL ELDEN STUBBLEFIELD JR.
Active
Individual
DR. CARL ELDEN STUBBLEFIELD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
62091
KS
122300000X
Dentist
D3838
ID
1223G0001X
General Practice Dentistry
D-3838
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BC6K869
BCBS
ID
Enumeration date
01/09/2007
Last updated
05/16/2024
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