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Contact Information

CHLOE A STUCK, DDS
1081 E 18TH ST
ROLLA, MO65401-2448
 Phone: 573-426-6712
 Fax: 573-426-6735
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dental Public Health

1223D0001X
Indicates primary specialty

NPI Profile & details for CHLOE A STUCK · (Female)

NPI Number 1801325121
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 06/08/2017
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 2017017370
  • MO Medicaid 1801325121
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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