Individual
DR. STEVEN MARK STACKHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1270 UPPER VALLEY PIKE, SPRINGFIELD, OH 45504-4020
(937) 525-0500
(937) 525-0502
Mailing address
1270 UPPER VALLEY PIKE, SPRINGFIELD, OH 45504-4020
(937) 525-0500
(937) 525-0502
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30-023949
OH
Other
Enumeration date
05/14/2013
Last updated
05/14/2013
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