Individual
DR. STEPHEN W. HIATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5551 WINGHAVEN BLVD STE 210, O FALLON, MO 63368
(636) 978-6967
Mailing address
5551 WINGHAVEN BLVD STE 210, O FALLON, MO 63368-3629
(636) 978-6967
(636) 978-5905
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
013949
MO
Other
Enumeration date
08/22/2006
Last updated
02/14/2019
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