Nettleton, Stephanie

Nettleton, Stephanie is an individual health care provider with primary practice located at 946 E State St , Mason City IA 50401-4202. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Nettleton, Stephanie can be contacted via phone (641) 424-4521.

Contact Information

Primary practice address
946 E State St Mason City IA 50401-4202
Fax: (641) 424-8403
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 7715 Iowa

Profile Details

NPI number 1700973104
LBN Legal business name Nettleton, Stephanie
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2006
Last updated Jul 8th, 2007 - about 18 years 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700973104 NPPES
Iowa Other 7715 DELTA DENTAL
Iowa Other 867568 DELTA DENTAL
Iowa MEDICAID 1109967 DELTA DENTAL
Iowa Other 16804 DELTA DENTAL

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