Stubblefield, Carl Elden

Stubblefield, Carl Elden is an individual health care provider with primary practice located at 8033 W 159Th St , Overland Park KS 66223-2914. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / Dentist is his primary health care specialty. Stubblefield, Carl Elden can be contacted via phone (913) 215-9664.

Contact Information

Primary practice address
8033 W 159Th St Overland Park KS 66223-2914
Phone: (913) 215-9664
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D3838 Idaho
Dental Providers / General Practice 1223G0001X D-3838 Idaho
Dental Providers / Dentist 122300000X 62091 Kansas

Profile Details

NPI number 1720137011
LBN Legal business name Stubblefield, Carl Elden
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2007
Last updated May 16th, 2024 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1720137011 NPPES
Idaho Other BC6K869 BCBS

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