NPI 1568788925

Collin Miles Stutz, DDSMD

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Saint Louis, MO

Practice location

Address: 605 Old Ballas Rd, Saint Louis, MO 63141-7000
Phone: (314) 256-2135
Mailing address: 605 Old Ballas Rd STE 130, Saint Louis, MO 63141-7070

Registered specialties (2)

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 2014006169 (MO)

Other Oral & Maxillofacial Surgery providers in Missouri →

Oral and Maxillofacial Surgery (Dentist)

Dental Providers Taxonomy 1223S0112X Licence 2014015503 (MO)

Other Dentist providers in Missouri →

Registry record

NPI: 1568788925
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Apr 2010
Record last updated: 7 Sep 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.