Individual
STEPHANIE KAY STANTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1310 ANDREWS DR, NORFOLK, NE 68701-2760
(402) 371-3745
Mailing address
PO BOX 1203, NORFOLK, NE 68702-1203
(402) 371-1360
(402) 371-1278
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6623
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05794
BCBS
NE
05
—
10025271500
—
NE
Enumeration date
11/13/2006
Last updated
09/14/2023
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