Becker, Stacy Elaine

Becker, Stacy Elaine is an individual health care provider with primary practice located at 1280 Main St , Imperial MO 63052-3861. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Becker, Stacy Elaine can be contacted via phone (310) 210-4967.

Contact Information

Primary practice address
1280 Main St Imperial MO 63052-3861
Phone: (310) 210-4967
Fax: (636) 461-0401
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 2002011129 Missouri

Profile Details

NPI number 1750491833
LBN Legal business name Becker, Stacy Elaine
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Jun 27th, 2024 - about 5 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers