Organization
STEPHANIE L MULLINS DDS MS LLC
Active
Other names
Stephanie L. Mullins, DDS MS LLC
Organization subpart
No
Provider details
NPI number
Authorized official
FAITH GASKINS (CREDENTIALING DIRECTOR)
(972) 869-3789
Entity
Organization
Contact information
Practice address
3470 NE RALPH POWELL RD STE C, LEES SUMMIT, MO 64064-2330
(816) 524-9800
Mailing address
3470 NE RALPH POWELL RD STE C, LEES SUMMIT, MO 64064-2330
(816) 524-9800
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
1223P0300X
Periodontics
—
—
Other
Enumeration date
11/13/2020
Last updated
05/05/2023
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