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Dr. Mary F Stavropoulos, DDS
Oral and Maxillofacial Surgery (Dentist) in Portland, Oregon
NPI 1417914003

Mary F Stavropoulos is a Oral and Maxillofacial Surgery (Dentist) based in La Crosse, OR and is specialized in Oral and Maxillofacial Surgery. Mary F Stavropoulos practices in Portland, OR and has the professional credentials of DDS. The NPI Number for Mary F Stavropoulos is 1417914003 and holds a License No. D10449 (Oregon).

The current practice location address for Mary F Stavropoulos is 2730 Sw Moody Ave, Portland, OR and can be reached out via phone at 608-769-4364. You can also correspond with Mary F Stavropoulos through the mailing address at 1836 SOUTH AVE, LA CROSSE, WI - 54601-5429 (mailing address contact number: 608-782-7300).

Location: 2730 Sw Moody Ave, Portland, OR, 54601-5429
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Provider Profile Details
NPI Number
1417914003
Provider Name
Mary F Stavropoulos
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
2730 Sw Moody Ave, Portland, OR, 54601-5429
Phone Number
608-769-4364
Fax Number
Provider Enumeration Date
04/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
366627 01 OR MEDICARE
institution
Provider Business Practice Location Address Details
Address
2730 Sw Moody Ave
City
State
Zip
97201
Phone Number
608-769-4364
Fax Number
person
Provider Business Mailing Address Details
Address
2730 Sw Moody Ave
City
State
Zip
97201
Phone Number
608-769-4364
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
D10449 (Oregon)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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