Dr. Stephen C Waller , DDS
Dentist • Ellington, MO
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Stephen Waller has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Stephen Waller, DDS was a registered Dentist practicing in Ellington, MO. Throughout an active medical career spanning 11 years, Dr. Waller provided care at the practice location at 115 WALNUT ST until profile deactivation on 2017-03-23.
Practice Location & Contact Primary Location
115 Walnut St
Ellington, MO 636380157
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist in Ellington, MO
Practicing in Ellington, MO (1740 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 122300000X
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.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Dental Hygienist
Registered Dental Hygienist
Dental Hygienist
Dentist - General Practice
Doctor of Dental Medicine
Dental Assistant
Dental Assistant
Dentist
Doctor of Dental Surgery
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on March 23, 2017
NPI status registered as active in NPPES database
Registered at 115 WALNUT ST, ELLINGTON, MO 636380157 (Tel: 5736633177)
Registered at PO BOX 157, ELLINGTON, MO 636380157 (Tel: 5736632313)
Recorded as STEPHEN WALLER, DDS
Dentist (License #1999135982 in MO)
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
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NPI Administrative Meta
Mailing Address
Po Box 157
Ellington, MO 636380157
Phone: 5736632313
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