Fallon L Stiens DDS Family Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

FALLON L STIENS DDS FAMILY DENTAL LLC

Practice address

3524 US Highway 169
Stanberry, MO 64489-8210

Phone

(660) 783-2205

Fax

(660) 783-9021

NPI assigned

May 1, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Fallon Stiens, DDSNPI 1336580786

Title

Owner

Phone

(660) 783-2205

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Fallon L Stiens, D.D.S.

  • Dentist
  • Stanberry, MO
  • NPI 1336580786
  NPD Authorized official
• Kylee Townsend

  • Dentist
  • Stanberry, MO
  • NPI 1528995370
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1746057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746057600000",
    "number": "1053100503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 203",
            "city": "STANBERRY",
            "state": "MO",
            "postal_code": "644890203",
            "telephone_number": "660-783-2205",
            "fax_number": "660-783-9021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3524 US HIGHWAY 169",
            "city": "STANBERRY",
            "state": "MO",
            "postal_code": "644898210",
            "telephone_number": "660-783-2205",
            "fax_number": "660-783-9021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FALLON L STIENS DDS FAMILY DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-01",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A",
        "authorized_official_last_name": "STIENS",
        "authorized_official_first_name": "FALLON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "660-783-2205",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Stanberry, MO
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.