Individual provider · Type 1 NPI

Derek S. Stallard

Dentist · St. Cloud, FL

NPI number 1083107882 Active

Practice location

1950 S Narcoossee Rd
St. Cloud, FL 34771-7204

Mailing address

3100 W Rolling Hills Cir Apt 209
Davie, FL 33328-1955

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XDN23428 (FL)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1083107882

Derek S. Stallard's National Provider Identifier is 1083107882, issued on Jun 7, 2018. The primary taxonomy on file is Dentist (122300000X), and the practice location is in St. Cloud, FL. The record was last updated on Jun 7, 2018.