Organization
FALLON L STIENS DDS FAMILY DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FALLON STIENS DDS (OWNER)
(660) 783-2205
Entity
Organization
Contact information
Practice address
3524 US HIGHWAY 169, STANBERRY, MO 64489-8210
(660) 783-2205
(660) 783-9021
Mailing address
PO BOX 203, STANBERRY, MO 64489-0203
(660) 783-2205
(660) 783-9021
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/01/2025
Last updated
05/01/2025
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