Elisabeth Estep
Individual provider Active NPI General Practice Dentistry · Whiteman Afb, MO
NPI 1497459846 · NPPES record last updated Dec 10, 2024
Key facts
- NPI
- 1497459846
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 016.0134194 (VT)
- Practice address
- 331 Sijen Ave
Whiteman Afb, MO 65305-1269 - Phone
- (660) 687-2188
- NPI assigned
- Mar 29, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016.0134194 | VT | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 016.0134194 | VT | Yes |
Addresses
Primary practice location
331 Sijen Ave
Whiteman Afb, MO 65305-1269
Mailing address
331 Sijen Ave
Whiteman Afb, MO 65305-1269
Other providers in Whiteman Afb, MO
- John Copeland
- Travis Cripps
- Tracy Catherine Delaney
- Kellie Adrienne Ebberup-Krug
- Adam J Egge
- Bianca Felan
- Sheontee Ferebee
- Holly Denise Fitzpatrick
- Sean Kevin Fitzpatrick
- Stephanie Ann Forsythe
All providers in Whiteman Afb, MO · General Practice Dentistry in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 10, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.