Matt Stunkel DDS, LLC

Primary specialty

DentistTaxonomy code 122300000X

License

2009020432 Issued in MO

Legal business name

MATT STUNKEL DDS, LLC

Practice address

1440 W Republic Rd
Ste:144
Springfield, MO 65807-5703

Phone

(417) 720-4075

NPI assigned

Jul 28, 2014

Organization subpart

No

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

Authorized official

Name

Matt Stunkel, DDS

Title

Dentist

Phone

(417) 720-4075

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1406505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406505600000",
    "number": "1154739738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 W REPUBLIC RD",
            "address_2": "STE:144",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075703",
            "telephone_number": "417-720-4075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 W REPUBLIC RD",
            "address_2": "STE:144",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075703",
            "telephone_number": "417-720-4075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATT STUNKEL DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-28",
        "last_updated": "2014-07-28",
        "status": "A",
        "authorized_official_last_name": "STUNKEL",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "417-720-4075",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MO",
            "license": "2009020432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Springfield, MO
• Providers in Springfield, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2014; 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.