Individual
DR. STAFFORD RUSSELL DAMRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
335 YORK ST, NEWPORT, KY 41071-4901
(859) 261-6116
(859) 261-7074
Mailing address
335 YORK ST, NEWPORT, KY 41071-4901
(859) 261-6116
(859) 261-7074
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6857
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60068574
—
KY
Enumeration date
10/24/2006
Last updated
06/04/2014
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