Individual provider · Type 1 NPI

Gregory L. Stine Jr., DDS

Pediatric Dentistry · Columbia, MO

NPI number 1578729133 Active

Practice location

1000 W Nifong Blvd, Building 6, Suite 130
Columbia, MO 65203-5615

Call (573) 874-1990 Map

Fax (573) 874-1923

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X016119 (MO)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1578729133

Gregory L. Stine Jr., DDS's National Provider Identifier is 1578729133, issued on Aug 4, 2008. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Columbia, MO. The record was last updated on Aug 4, 2008.