Dougherty, Stefanie Brooke

Dougherty, Stefanie Brooke is an individual health care provider with primary practice located at 2901 Dougherty Ferry Rd Suite 301, Saint Louis MO 63122-3368. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Dougherty, Stefanie Brooke can be contacted via phone (636) 825-1000.

Contact Information

Primary practice address
2901 Dougherty Ferry Rd Suite 301 Saint Louis MO 63122-3368
Phone: (636) 825-1000
Fax: (636) 825-1040
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 2004016350 Missouri

Profile Details

NPI number 1184601965
LBN Legal business name Dougherty, Stefanie Brooke
Credentials D.M.D., M.S.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2005
Last updated Oct 29th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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