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Dr. Stephen C. Waller, DDS, LLC

General Practice Dentistry in Ellington, MO · enumerated 2007 · authorized official Stephen Waller, Dentist.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1992984173

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Registry record

Entity type Organization (Type 2)
Legal business name Dr. Stephen C. Waller, DDS, LLC
Practice address 115 Walnut St, Ellington, MO, 63638
Fax (573) 756-4699
Enumeration date Oct 24, 2007
Last updated in NPPES Jan 22, 2009

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers · License 1999135982 (MO) Primary

Authorized official

Name Stephen Waller
Title Dentist

Other identifiers

Identifier Type State Issuer
1578574240 Other MO TYPE 1 NPI NUMBER

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2009-01-22. Verify at npiregistry.cms.hhs.gov.
Where is Dr. Stephen C. Waller, DDS, LLC located?
The practice location on file with NPPES is in Ellington, MO.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-01-22.