Individual provider · Type 1 NPI
Scott Richard Stanke, DDS
Periodontics · Peru, IL
NPI number
1417060856
Active
Practice location
2050 Marquette Rd, Suite 400
Peru, IL 61354-1597
Fax (815) 224-4192
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | None listed |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
2 other providers at this address
About NPI 1417060856
Scott Richard Stanke, DDS's National Provider Identifier is 1417060856, issued on Aug 17, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Peru, IL. The record was last updated on Jul 8, 2007.