Stallard, Derek S
Stallard, Derek S is an individual health care provider with primary practice located at 1950 S Narcoossee Rd , Saint Cloud FL 34771-7204. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Stallard, Derek S can be contacted via phone (217) 540-5100.Contact Information
Primary practice address
1950 S Narcoossee Rd
Saint Cloud FL 34771-7204
Phone: (217) 540-5100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DN23428 | Florida |
Profile Details
| NPI number | 1083107882 |
|---|---|
| LBN Legal business name | Stallard, Derek S |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 7th, 2018 |
| Last updated | Jun 7th, 2018 - about 8 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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