Individual
DR. STEPHANIE SELECMAN FILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1429 VILLAGE DR, SAINT JOSEPH, MO 64506-2459
(816) 233-8668
(816) 233-5665
Mailing address
1429 VILLAGE DR, SAINT JOSEPH, MO 64506-2459
(816) 233-8668
(816) 233-5665
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
015602
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000626516
UNITED CONCORDIA ID #
PA
01
—
21204011
BLUE CROSS BLUE SHIELD KC
MO
01
—
702950
BLUE CROSS BLUE SHIELD KS
KS
01
—
710200000000MO
BLUE CROSS BLUE SHIELD MI
MI
01
—
740-09253
BLUE CROSS BLUE SHIELD AL
AL
01
—
DELTA DENTAL
INSURANCE I.D. NUMBER
MO
01
—
X0738842
BLUE CROSS BLUE SHIELD CA
CA
Enumeration date
09/04/2006
Last updated
05/26/2016
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