| Stacy Becker, Dds, Llc | |
|
1280 Main St Imperial MO 63052-3861 | |
| (636) 461-2255 | |
| (636) 461-0401 |
| Full Name | Stacy Becker, Dds, Llc |
|---|---|
| Speciality | Dentist |
| Location | 1280 Main St, Imperial, Missouri |
| Authorized Official Name and Position | Stacy Elaine Becker Ochoa (OWNER/MEMBER) |
| Authorized Official Contact | 6364612255 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stacy Becker, Dds, Llc 1280 Main St Imperial MO 63052-3861 Ph: (636) 461-2255 | Stacy Becker, Dds, Llc 1280 Main St Imperial MO 63052-3861 Ph: (636) 461-2255 |
| NPI Number | 1992887467 |
|---|---|
| Provider Enumeration Date | 10/20/2006 |
| Last Update Date | 11/13/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992887467 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2002011129 (Missouri) | Primary |
Gerald C Schmitz Dmd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1500 Prehistoric Hill Dr, Imperial, MO 63052 Phone: 636-464-2002 Fax: 636-464-2003 | |
Brandy L Burgess, Dds, Ms, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1276 Main St, Imperial, MO 63052 Phone: 636-223-7123 |