Healthcare Provider Details

I. General information

NPI: 1487757860
Provider Name (Legal Business Name): DANIEL GEORGE STAMOS DDS MS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/07/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5400 NORTH OAK TRAFFICWAY SUITE 201
KANSAS CITY MO
64118
US

IV. Provider business mailing address

5400 NORTH OAK TRAFFICWAY SUITE 201
KANSAS CITY MO
64118
US

V. Phone/Fax

Practice location:
  • Phone: 816-452-0900
  • Fax: 816-452-1923
Mailing address:
  • Phone: 816-452-0900
  • Fax: 816-452-1923

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number13931
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: