DR. COLLIN MILES STUTZ (NPI# 1568788925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568788925 |
| Entity Type | Individual |
| Full Name | DR. COLLIN MILES STUTZ |
| Credential | DDS, MD |
| Practice Address |
605 Old Ballas Rd Saint Louis MO 63141-7000 |
| Mailing Address |
605 Old Ballas Rd Ste 130 Saint Louis MO 63141-7070 |
| Practice Telephone | 3142562135 |
| Mailing Telephone | 3142562135 |
| Enumeration Date | 2010-04-10 |
| Last Update Date | 2014-09-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
2014015503 | MO | Dental Providers |
| Y | 204E00000X | Oral & Maxillofacial Surgery | 2014006169 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
605 OLD BALLAS RD |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63141-7000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689787459 | Phillip Brick | Internal Medicine | 605 Old Ballas Rd, Suite 200, Saint Louis, MO 63141-7000 | 2006-08-16 |
| 1699124065 | Shayla Marie Barber | Dentist | 605 Old Ballas Rd, Suite 118, Saint Louis, MO 63141-7000 | 2016-06-07 |
| 1790198711 | Brandon Robert Doerr | Dentist | 605 Old Ballas Rd, Suite 118, Saint Louis, MO 63141-7000 | 2014-06-06 |
| 1891107132 | Creve Coeur Oral Surgery | Dentist | 605 Old Ballas Rd, Suite 130, Saint Louis, MO 63141-7000 | 2014-05-21 |
| 1942640750 | Dani Rae Gray | Dentist | 605 Old Ballas Rd, Saint Louis, MO 63141-7000 | 2013-06-26 |
| 1427396126 | Cynthia Mae Hovis | Social Worker | 605 Old Ballas Rd, Suite 123, Saint Louis, MO 63141-7000 | 2013-01-30 |
| 1720285554 | Emily Jean Adams | Audiologist | 605 Old Ballas Rd, Saint Louis, MO 63141-7000 | 2007-06-27 |
| 1851592356 | Matthew Kane Birke | Dentist | 605 Old Ballas Rd, Suite 118, Saint Louis, MO 63141-7000 | 2007-05-30 |
| 1306972195 | Bi-state Medical Consultants, Inc. | Internal Medicine | 605 Old Ballas Rd, Suite 200, Saint Louis, MO 63141-7000 | 2007-02-26 |
| 1093860686 | Ashley M Loiterstein | Counselor | 605 Old Ballas Rd, Suite 123, Saint Louis, MO 63141-7000 | 2007-01-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679102842 | Noor Ramadan | Pharmacist | 628 North New Ballad Road, Suite A, Creve Coeur, MO 63141 | 2020-04-08 |
| 1497381206 | Washington University | Durable Medical Equipment & Medical Supplies | 1044 North Mason Road, Suite 110/210, St. Louis, MO 63141 | 2020-03-13 |
| 1154956498 | Ashleigh Clendenny | Physician Assistant | Mercy Hospital St. Louis, 615 S New Ballas Rd, St. Louis, MO 63141 | 2020-03-06 |
| 1801429410 | Emili Lou Haley | Registered Nurse | 650 Maryville Drive, St Louis, MO 63141 | 2020-02-21 |
| 1629553110 | Rebecca Kathleen Pike | Social Worker | West County Psychological Associates, 12125 Woodcrest Executive Drive #110, St. Louis, MO 63141 | 2018-10-01 |
| 1649756099 | River City Sedation Associates, LLC | Nurse Anesthetist, Certified Registered | 12855 N 40 Dr Ste 150, Saint Louis, MO 63141 | 2018-07-18 |
| 1205333952 | Ear Care and Hearing of St. Louis | Hearing Aid Equipment | 11630 Studt Ave Ste 210, Creve Coeur, MO 63141 | 2018-04-10 |
| 1659897486 | Erin Goodman | Physical Therapist | 10560 Old Olive St. Rd, Suite 100, Creve Coeur, MO 63141 | 2017-08-14 |
| 1093230450 | Center for Urologic Surgery LLC | Clinic/Center | 12855 N 40 Dr Ste 100, Saint Louis, MO 63141 | 2017-08-07 |
| 1871016105 | Jacob Farley Tanner | Specialist/Technologist | 1054 Town and Four Parkway Dr, Creve Coeur, MO 63141 | 2017-07-19 |
| Find all providers in zip 63141 | ||||
| Taxonomy Code | 204E00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Oral & Maxillofacial Surgery |
| Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. |
| Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790849834 | Edward Steven Czebrinski | Oral & Maxillofacial Surgery | 77 Westport Plaza Medical Center, Suite 356, Saint Louis, MO 63146 | 2006-12-21 |
| 1578777280 | Kenneth S Rotskoff | Oral & Maxillofacial Surgery | 1034 S Brentwood Blvd, Suite 1010, Saint Louis, MO 63117-1223 | 2007-05-10 |
| 1376607416 | Edward S Czebrinski Dmd PC | Oral & Maxillofacial Surgery | 77 Westport Plaza Medical Center, Suite 356, Saint Louis, MO 63146 | 2006-12-21 |
| 1063435089 | William D Gay | Oral & Maxillofacial Surgery | 517 S Euclid Ave, 8th Floor, Saint Louis, MO 63110-1007 | 2006-07-25 |
| 1801885314 | Allen Sclaroff | Oral & Maxillofacial Surgery | 1 Barnes Jewish Hospital Plz, Suite 16432, Saint Louis, MO 63110-1003 | 2005-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609162189 | Rebecca Lindsay Grammer | Oral & Maxillofacial Surgery | 1034 S. Brentwood, Suite 1010, St. Louis, MO 63117-1210 | 2011-06-23 |
| 1659538973 | Michael J Pernoud Dds PC | Oral & Maxillofacial Surgery | 1015 Washington Sq Ste F, Washington, MO 63090-5307 | 2008-05-22 |
| 1912173592 | John O'connor Heiman | Oral & Maxillofacial Surgery | 4545 Wornall Rd, # 608, Kansas City, MO 64111-3270 | 2008-05-05 |
| 1730222647 | Matthew W Sheffer | Oral & Maxillofacial Surgery | 5227 S Main St Ste B, Joplin, MO 64804-4938 | 2007-02-14 |
| 1558415075 | Roberet L Ward | Oral & Maxillofacial Surgery | 1325 N Mt Auburn Rd, Cape Giraedeau, MO 63701 | 2007-01-22 |
| 1063593838 | Eugenio G Herbosa | Oral & Maxillofacial Surgery | 12818 Tesson Ferry Road, Suite 204, St Louis, MO 63128 | 2006-10-18 |
| 1912019290 | David M Ivey Dds PC | Oral & Maxillofacial Surgery | One Mid Rivers Mall Dr, Ste 310, St Peters, MO 63376-4323 | 2006-08-31 |
| 1285017806 | Marion Harris | Oral & Maxillofacial Surgery | 2301 Holmes St, Kansas City, MO 64108-2640 | 2015-06-30 |
| 1851618847 | Aosdi, Glenn J Makowski, Dmd, Md, PC | Oral & Maxillofacial Surgery | 2602 Cunningham Ave, Joplin, MO 64804-1542 | 2010-04-29 |
| 1699901868 | Thaer Daifallah | Oral & Maxillofacial Surgery | 2301 Holmes St, Kansas City, MO 64108-2640 | 2009-06-02 |
| Find all providers with the same taxonomy | ||||
| City | SAINT LOUIS |
| Zip Code | 63141 |
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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.