Stavropoulos, Mary F
Stavropoulos, Mary F is an individual health care provider with primary practice located at 2730 Sw Moody Ave , Portland OR 97201. She recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as her primary health care specialty. Stavropoulos, Mary F can be contacted via phone (608) 769-4364.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | D10449 | Oregon |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 7015 | Wisconsin |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | DTP 113 | Florida |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | S68 | Minnesota |
Profile Details
| NPI number | 1417914003 |
|---|---|
| LBN Legal business name | Stavropoulos, Mary F |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 27th, 2006 |
| Last updated | Mar 7th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417914003 | NPPES |
| Oregon | Other | 366627 | MEDICARE |
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