DR. GREGORY L STINE JR. (NPI# 1578729133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578729133 |
Entity Type | Individual |
Full Name | DR. GREGORY L STINE JR. |
Credential | DDS |
Practice Address |
1000 W Nifong Blvd Building 6, Suite 130 Columbia MO 65203-5615 |
Practice Telephone | 5738741990 |
Practice Fax Number | 5738741923 |
Mailing Telephone | 5738741990 |
Mailing Fax Number | 5738741923 |
Enumeration Date | 2008-08-04 |
Last Update Date | 2008-08-04 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
016119 | MO | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457438509 | Gregory Stine | Counselor | 12 Union St, Rockland, ME 04841-2978 | 2006-11-01 |
Street Address |
1000 W NIFONG BLVD BUILDING 6, SUITE 130 |
City | COLUMBIA |
State | MO |
Zip Code | 65203-5615 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225027907 | Mahlon Vandelden | Otolaryngology | 1000 W Nifong Blvd, Building 3, Suite 100, Columbia, MO 65203-5615 | 2005-10-17 |
1871151001 | Victoria Danielle Newcom | Nurse Practitioner | 1000 W Nifong Blvd, Columbia, MO 65203-5615 | 2019-06-03 |
1447736715 | Columbia Oral and Maxillofacial Services, LLC | Dentist | 1000 W Nifong Blvd, Bldg 4 Suite 100, Columbia, MO 65201 | 2018-07-19 |
1548788441 | Morgan Rhiannon Yarnell | Social Worker | 1000 W Nifong Blvd, Bldg 2, Ste 140, Columbia, MO 65203-5615 | 2017-08-31 |
1780136184 | Melissa Rapp | Social Worker | 1000 W Nifong Blvd, Columbia, MO 65203 | 2016-11-01 |
1346606894 | Christine Clarke | Licensed Practical Nurse | 1000 W Nifong Blvd, Bldg 6 Ste 220b, Columbia, MO 65203-5615 | 2016-01-13 |
1487094140 | Hadia Crider | Psychiatry & Neurology | 1000 W Nifong Blvd, Columbia, MO 65203-5615 | 2013-06-26 |
1790049500 | Sarah J.s. Smith | Audiologist | 1000 W Nifong Blvd, Building 3, Suite 100, Columbia, MO 65203-5615 | 2012-06-26 |
1720341357 | Kara Mekel Reed | Psychiatry & Neurology | 1000 W Nifong Blvd, Bldg 2, Ste 140, Columbia, MO 65203-5615 | 2012-06-19 |
1801161898 | Mid-america Anesthesia Services, LLC | Anesthesiology | 1000 W Nifong Blvd, Bldg 6 #130, Columbia, MO 65203-5615 | 2012-03-09 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982229498 | Rebecca Wallace Counseling LLC | Clinic/Center | 207 Peach Way, Suite 110, Columbia, MO 65203 | 2020-06-10 |
1144797101 | Mary Zhang | Family Medicine | 200 Southampton Drive, Ste 102, Columbia, MO 65203 | 2018-10-29 |
1871090258 | Hina Omer Khokhar | Pathology | 4601 Apt F West Millbrook Dr, Columbia, MO 65203 | 2018-04-11 |
1154820157 | David Vincent Spencer | Internal Medicine | 201 W Broadway Building, Suite E, Columbia, MO 65203 | 2018-02-05 |
1598283103 | Donna Strickland | Counselor | 201 W Broadway Bldg 2, Suite F, Columbia, MO 65203 | 2017-09-03 |
1134643182 | Anna Kathryn Christensen | Physician Assistant | 4107 Baurichter Dr., Columbia, MO 65203 | 2017-08-01 |
1558885871 | Juan Camilo Pineda | Internal Medicine | 210 Portland Street Suite 104, Columbia, MO 65203 | 2017-07-28 |
1922530096 | The Missing L Inc | Community/Behavioral Health | 3605 S. Providence Rd, Suite 6, Columbia, MO 65203 | 2017-03-29 |
1689118010 | Linda Landry | Nurse Practitioner | 1000 W. Nifong, Bldg 2 Suite 150, Columbia, MO 65203 | 2016-12-04 |
1417313552 | Brittany Lea Ramirez | Chiropractor | 2001 Corona Rd Ste 205, Columbia, MO 65203 | 2016-01-05 |
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Taxonomy Code | 1223P0221X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Pediatric Dentistry |
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437668126 | Como Pediatric Dentistry LLC | Dentist | 1316 Old 63 S Ste 201, Columbia, MO 65201-6092 | 2017-09-25 |
1528585924 | Carolina Orthodontics and Pediatric Dentistry | Dentist | 921 Longtown Rd Ste B, Columbia, SC 29229-9498 | 2017-08-25 |
1154733509 | Carol Nixon | Dentist | 927 N. James Campbell Blvd, Suite 106, Bldg 1, Columbia, TN 38401 | 2014-05-20 |
1700151768 | Columbia Dentistry for Children | Dentist | 1000 W Nifong Blvd Ste 6-130, Columbia, MO 65203-5607 | 2012-03-09 |
1598094138 | Northeast Childrens Dentistry | Dentist | 147 Summit Centre Dr., Columbia, SC 29229 | 2009-12-10 |
1427176916 | B. Casey Crafton | Dentist | 10380 Old Columbia Rd Ste 102, Columbia, MD 21046-2005 | 2007-03-26 |
1215083696 | John Allen Gardner | Dentist | 1316 Old 63 South, Suite 201, Columbia, MO 65201-6045 | 2007-01-26 |
1639259047 | Robert Dale Coyle | Dentist | 1000 N Nifong, Bldg 6 Suite 130, Columbia, MO 65203 | 2006-10-17 |
1770678526 | Heather Huntley Owens | Dentist | 1706 Wedgewood Dr, Columbia, TN 38401-3527 | 2006-10-04 |
1770513293 | Lori Henderson | Dentist | 1506 Chapel Hill Rd Ste B, Columbia, MO 65203-5504 | 2006-07-03 |
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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.