DR. STANLEY EARL HUMPHREY (NPI# 1902914682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902914682 |
| Entity Type | Individual |
| Full Name | DR. STANLEY EARL HUMPHREY |
| Credential | DDS |
| Practice Address |
307 S Main Gallatin MO 64640 |
| Mailing Address |
Po Box 156 307 S Main Gallatin MO 64640 |
| Practice Telephone | 6606632814 |
| Practice Fax Number | 6606632822 |
| Mailing Telephone | 6606632814 |
| Mailing Fax Number | 6606632822 |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
14168 | MO | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | BCBS | 10798011 | 01 |
| Street Address |
307 S MAIN |
| City | GALLATIN |
| State | MO |
| Zip Code | 64640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659463982 | Karen Joyce Coleman | Family Medicine | 1101 Weber Rd Suite 303, Farmington, MO 64640 | 2006-09-28 |
| 1982760179 | Community Ambulance District | Emergency Medical Technician, Paramedic | 204 E Corrine St, Gallatin, MO 64640-1006 | 2006-12-29 |
| 1013323807 | Daviess County Board for The Developmentally Disabled | Case Management | 109 E Jackson St, Gallatin, MO 64640-1147 | 2014-07-01 |
| 1083819239 | Shopko Stores Operating Co LLC | Durable Medical Equipment & Medical Supplies | 212 N Main St, Gallatin, MO 64640-1150 | 2007-06-18 |
| 1528073053 | D H Davis Drug Co Inc | Pharmacy | 103 N Main St, Gallatin, MO 64640-1151 | 2006-07-31 |
| 1760415988 | Orourke Wellness Center PC | Chiropractor | 122 N Market St, Gallatin, MO 64640-1156 | 2006-07-09 |
| 1447334016 | Cindy Michelle O'rourke | Massage Therapist | 122 N Market St, Gallatin, MO 64640-1156 | 2006-10-24 |
| 1972583094 | Larry J Dickinson | Family Medicine | 100 E Johnson St, Gallatin, MO 64640-1338 | 2006-01-17 |
| 1821358789 | Jacob Earl Humphrey | Dentist | 307 S Main St, Gallatin, MO 64640-1339 | 2012-05-24 |
| 1851917850 | Mackenzie Lane Morrison | Pharmacist | 403 S Main St, Gallatin, MO 64640-1434 | 2020-06-25 |
| Find all providers in zip 64640 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558731463 | Cumberland Endodontics Pllc | Dentist | 1528 Hunt Club Blvd, Suite 410, Gallatin, TN 37066-6036 | 2015-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679185045 | Daniel G Stamos Dds PC | Dentist | 5400 N Oak Trfy Ste 201, Kansas City, MO 64118-4690 | 2020-08-18 |
| 1700377009 | Akr Endodontics, LLC | Dentist | 1431 Us Hwy 61, Festus, MO 63028 | 2018-05-22 |
| 1366993719 | Bryan Allgeier | Dentist | 3941 Bowen St, Saint Louis, MO 63116 | 2016-10-20 |
| 1811373764 | Susan S Adams | Dentist | 1321 Veterans Blvd, Festus, MO 63028-2329 | 2015-08-03 |
| 1720412463 | Shelly L. Sarich Dds,ms and Spencer Elmore Dds, Ms, PC | Dentist | 1053 Rondale Ct, Dardenne Prairie, MO 63368-7368 | 2013-08-29 |
| 1316222961 | Endodontic Associates, LLC | Dentist | 1431 Us Highway 61 South, Festus, MO 63028 | 2011-10-14 |
| 1770713265 | Endodontics South, Ltd | Dentist | 1431 Us Hwy 61 So, Festus, MO 63028 | 2009-07-20 |
| 1346483211 | Gregory Joe Powell | Dentist | 12255 De Paul Dr., Ste 885, Bridgeton, MO 63044 | 2009-04-08 |
| 1992955405 | Greater Springfield Endodontics Partnership | Dentist | 2808 S Ingram Mill Rd, Building C108, Springfield, MO 65804-4079 | 2008-09-22 |
| 1184816431 | Pearline, Dds & Roach, Dmd, PC | Dentist | 777 S New Ballas Rd Ste 201w, Saint Louis, MO 63141-8717 | 2007-08-10 |
| Find all providers with the same taxonomy | ||||
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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.