DR. PATRICK STAMOS (NPI# 1295267185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295267185 |
| Entity Type | Individual |
| Full Name | DR. PATRICK STAMOS |
| Credential | DDS |
| Practice Address |
3320 Rutger St Saint Louis MO 63104-1122 |
| Mailing Address |
4800 Nw Canyon Cir Lees Summit MO 64064-2068 |
| Practice Telephone | 3149778363 |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2017-03-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 2016001673 | MO | Dental Providers |
| Street Address |
3320 RUTGER ST |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63104-1122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053467746 | St. Louis University | Clinic/Center | 3320 Rutger St, Saint Louis, MO 63104-1122 | 2007-01-26 |
| 1700400868 | Strater R Crowfoot | Student in an Organized Health Care Education/Training Program | 3320 Rutger St, Saint Louis, MO 63104-1122 | 2020-06-04 |
| 1396369757 | Jamie Carolina Terrill | Student in an Organized Health Care Education/Training Program | 3320 Rutger St, Saint Louis, MO 63104-1122 | 2020-06-02 |
| 1912528548 | Parth Mangrola | Dentist | 3320 Rutger St, Saint Louis, MO 63104-1122 | 2020-05-05 |
| 1437778651 | Edward Hoon Lee | Dentist | 3320 Rutger St, Saint Louis, MO 63104-1122 | 2020-04-09 |
| 1174184220 | Soo Hye Cho | Student in an Organized Health Care Education/Training Program | 3320 Rutger St, Saint Louis, MO 63104-1122 | 2019-06-27 |
| 1487213435 | Sarah Corine Crepps | Dentist | 3320 Rutger St, Saint Louis, MO 63104-1122 | 2019-06-12 |
| 1699332957 | Meagan Inclan | Dentist | 3320 Rutger St, Saint Louis, MO 63104-1122 | 2019-05-22 |
| 1841701497 | Theodore Young Tutwiler | Student in an Organized Health Care Education/Training Program | 3320 Rutger St, Saint Louis, MO 63104-1122 | 2017-10-21 |
| 1104377431 | Saint Louis University | Clinic/Center | 3320 Rutger St, Saint Louis, MO 63104-1122 | 2016-10-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407469570 | Family Care Health Centers | Clinic/Center | 2717 Sidney Street, St. Louis, MO 63104 | 2020-08-28 |
| 1023638038 | Laura Ann Humphrey | Physician Assistant | Allied Health Building 3437 Caroline Street, Room 3015, Saint Louis, MO 63104 | 2020-04-20 |
| 1174187264 | Ahsan Ali | Student in an Organized Health Care Education/Training Program | 1438 South Grand Blvd, Monteleone Hall, St. Louis, MO 63104 | 2019-04-24 |
| 1205359916 | Brenda Eve Ladin | Behavior Technician | 1221 Allen Market Lane Rear, St. Louis, MO 63104 | 2017-07-25 |
| 1841722063 | Gustavo G Mendez | Student in an Organized Health Care Education/Training Program | 1465 South Grand Bulevard Rm 2717, Ssm Health Cardinal Glennon Children's Hospital, Saint Louis, MO 63104 | 2017-03-28 |
| 1053776716 | Carmella Harper | Respiratory Therapist, Certified | 2678 Park Ave, St Louis, MO 63104 | 2015-12-23 |
| 1922485986 | Alexander Tremont | Internal Medicine | 1402 S Grand Blvd Rm M260, Saint Louis, MO 63104 | 2015-04-29 |
| 1306233341 | Healthcare R Us | Home Health | 2859 Sidney St, St Louis, MO 63104 | 2015-04-16 |
| 1396159091 | Daniela Hermelin | Pathology | 1402 South Grane, St. Louis, MO 63104 | 2014-06-20 |
| 1992117881 | Kelly Denise Durbin | Social Worker | 1920 S 7th St, Saint Louis, MO 63104 | 2014-05-27 |
| Find all providers in zip 63104 | ||||
| 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 |
|---|---|---|---|---|
| 1093326670 | Amani Abdulateef | Dentist | 4016 Lemay Ferry Rd, Saint Louis, MO 63129-1858 | 2020-08-16 |
| 1043828627 | Tara Elizabeth Habibi | Dentist | 3422 Utah St Fl 2, Saint Louis, MO 63118-2727 | 2020-07-20 |
| 1548817448 | Lauren Elizabeth Kessinger | Dentist | 2821 N Ballas Rd Ste 160, Saint Louis, MO 63131-2376 | 2019-08-25 |
| 1275193229 | Ryan Michael Mulligan | Dentist | 621 S New Ballas Rd Ste 10a, Saint Louis, MO 63141-8239 | 2019-06-20 |
| 1962993246 | Todd J Wind Enterprises LLC | Dentist | 12818 Tesson Ferry Rd Ste 2o2, Saint Louis, MO 63128-2945 | 2018-05-23 |
| 1396274098 | Darren Cartwright, Dds, P.C. | Dentist | 9960 Kennerly Rd Ste B, Saint Louis, MO 63128-3075 | 2017-06-06 |
| 1962936765 | Alex Sharifian Dds Rock Hill Dentistry PC | Dentist | 9601 Manchester Rd, Saint Louis, MO 63119-1333 | 2017-04-18 |
| 1467983973 | Westport Dental LLC | Dentist | 77 W Port Plz, Suite No. 251, Saint Louis, MO 63146-3107 | 2017-03-26 |
| 1427506781 | Karim Allahdina | Dentist | 3331 Locust St, 301, Saint Louis, MO 63103-1154 | 2016-09-15 |
| 1508217480 | Kevin Charles Kaiser | Dentist | 3890 S Lindbergh Blvd Ste 115, Saint Louis, MO 63127-1391 | 2016-06-22 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63104 |
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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.