DR. STEPHEN DOMINICK VITALE (NPI# 1083706220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083706220 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN DOMINICK VITALE |
| Credential | DDS |
| Practice Address |
6651 Chippewa St Suite 100 St Louis MO 63109-2530 |
| Mailing Address |
6651 Chippewa Ste 100 St Louis MO 63109-2530 |
| Practice Telephone | 3146472424 |
| Practice Fax Number | 3146472466 |
| Mailing Telephone | 3146472424 |
| Mailing Fax Number | 3146472466 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 12555 | MO | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356357289 | Stephen Joseph Vitale | Dermatology | 2235 Venetian Court, Suite 1, Naples, FL 34109 | 2006-07-31 |
| 1912451667 | Stephen Vitale | Physical Therapist | 3 Rundlett Way, Middleton, MA 01949-2500 | 2016-08-11 |
| 1275643470 | Stephen David Vitale | Physician Assistant | 11110 Jamaica Ave, Richmond Hill, NY 11418-2322 | 2006-08-30 |
| Street Address |
6651 CHIPPEWA ST SUITE 100 |
| City | ST LOUIS |
| State | MO |
| Zip Code | 63109-2530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306903802 | Francis X Neuner | Dentist | 6651 Chippewa St, Suite 205, St Louis, MO 63109-2531 | 2007-01-03 |
| 1275646648 | Paul N Selvadurai | Legal Medicine | 6651 Chippewa St, Ste 214, St Louis, MO 63109-2538 | 2006-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013431907 | James Edward Trout | Community Health Worker | 3956 Wenzlick Ave, St Louis, MO 63109 | 2017-08-01 |
| 1750815023 | Andrea Hyde | Nurse Practitioner | 5302 Chippewa Street, Suite 301, St Louis, MO 63109 | 2017-04-13 |
| 1215362124 | Alex Sharifian Dds Francis Park Dentistry PC | Dentist | 6650 Chippewa Street, Saint Louis, MO 63109 | 2013-09-10 |
| 1881993962 | Rachel Elizabeth Hale Hasper | Counselor | 6555 Chippewa, St Louis, MO 63109 | 2011-03-15 |
| 1730369885 | Janis Marie Lampa | Physical Therapist | 5203 Chippewa, Suite 301, St. Louis, MO 63109 | 2007-11-06 |
| 1285753772 | James Matthew Jordan | Occupational Therapist | 32 Hampton Village Plaza, St Louis, MO 63109 | 2007-03-28 |
| 1730224478 | Mercy Health Services, LLC | Optometrist | 34 Hampton Village Plaza, St. Louis, MO 63109 | 2007-02-20 |
| 1801959903 | John Thomas Doyle | Dentist | 5400 Walsh St, St Louis, MO 63109 | 2006-12-19 |
| 1649339771 | Residencial Services Corporation | Assisted Living Facility | 5890 Eichelberger, St Louis, MO 63109 | 2006-12-06 |
| 1316039852 | Gary Raymond Rieser | Dentist | 3915 Watson Road, Suite 205, Saint Louis, MO 63109 | 2006-09-29 |
| Find all providers in zip 63109 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417114554 | Thomas C Ryzicka | Dentist | 2820 Lemay Ferry, St Louis, MO 63125 | 2008-05-16 |
| 1760502033 | Valerie Paris O Bannon | Dentist | 665 S Skinker, St Louis, MO 63105-2300 | 2007-03-30 |
| 1588782742 | Richard W Danyluck | Dentist | 3940 S Broadway, St Louis, MO 63118-4626 | 2007-03-27 |
| 1366573859 | Gary Alan Padberg | Dentist | 8077 Watson Rd, Suite 150, St Louis, MO 63119-5323 | 2007-03-08 |
| 1265576904 | Gerda Monika Thalheimer | Dentist | 11627 Gravois Rd, St Louis, MO 63126 | 2007-02-16 |
| 1366588501 | Ervin Simmons Iv | Dentist | 12528 Lusher Rd, St Louis, MO 63138 | 2007-01-29 |
| 1659417582 | Brett Irvin | Dentist | 1511 East Broadway, St Louis, IL 62201 | 2007-01-29 |
| 1285783563 | Mary Heil Grimm | Dentist | 9785 Mackenzie, Suite 106, St Louis, MO 63123 | 2007-01-09 |
| 1992853527 | David T Cappetta | Dentist | 1034 So Brentwood Blvd, University Club Tower Bld, St Louis, MO 63117 | 2007-01-08 |
| 1659436673 | Ronald King Greif | Dentist | 4442 Telegraph Rd, St Louis, MO 63129-3316 | 2006-12-27 |
| Find all providers in ST LOUIS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.