MEDICARE: DR. STEPHEN W HELMAN DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	12961	MO

General Provider Information

NPI Number	:	1114093911
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEPHEN W HELMAN DDS

Provider Business Mailing Address
First Line	:	PO BOX 894
Second Line	:	615 PENNELL
City	:	CARL JUNCTION
State	:	MO
Zip	:	64834
Country	:	US
Telephone Number	:	417-649-7297
Fax Number	:	417-649-6882

Provider Business Practice Location Address
First Line	:	615 PENNELL
Second Line	:
City	:	CARL JUNCTION
State	:	MO
Zip	:	64834-0894
Country	:	US
Telephone Number	:	417-649-7297
Fax Number	:	417-649-6882

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/27/2006
Last Update Date	:	07/08/2007

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