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Scott Richard Stanke, DDS
Periodontist in Peru, Illinois
NPI 1417060856

Scott Richard Stanke is a Periodontist based in Peru, IL and is specialized in Periodontics. Scott Richard Stanke practices in Peru, IL and has the professional credentials of DDS. The NPI Number for Scott Richard Stanke is 1417060856 and holds a License No. (Illinois).

The current practice location address for Scott Richard Stanke is 2050 Marquette Rd, Peru, IL and can be reached out via phone at 815-224-4144 and via fax at 815-224-4192. You can also correspond with Scott Richard Stanke through the mailing address at 2050 MARQUETTE RD, PERU, IL - 61354-1597 (mailing address contact number: 815-224-4144).

Location: 2050 Marquette Rd, Peru, IL, 61354-1597
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417060856
Provider Name
Scott Richard Stanke
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
2050 Marquette Rd, Peru, IL, 61354-1597
Phone Number
815-224-4144
Fax Number
815-224-4192
Provider Enumeration Date
08/17/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2050 Marquette Rd
City
Peru
State
Illinois
Zip
61354-1597
Phone Number
815-224-4144
Fax Number
815-224-4192
person
Provider Business Mailing Address Details
Address
2050 Marquette Rd
City
Peru
State
Illinois
Zip
61354-1597
Phone Number
815-224-4144
Fax Number
815-224-4192
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
(Illinois)
Definition
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.
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