Individual
DR. ADAM WEEDEN STOTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
505 INGRAM LN, WARRENTON, MO 63383-4429
(636) 377-1233
Mailing address
110 CEDAR LAKE DR, WENTZVILLE, MO 63385-5425
(636) 887-1994
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2021019594
MO
Other
Enumeration date
06/02/2021
Last updated
06/02/2021
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