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Stephen Richard Gasparovich, DDS
Pediatric Dentist in Keesler Afb, Mississippi
NPI 1699737825

Stephen Richard Gasparovich is a Pediatric Dentist based in Keesler Afb, MS and is specialized in Pediatric Dentistry. Stephen Richard Gasparovich practices in Keesler Afb, MS and has the professional credentials of DDS. The NPI Number for Stephen Richard Gasparovich is 1699737825 and holds a License No. 30022122 (Mississippi).

The current practice location address for Stephen Richard Gasparovich is 606 Fisher St, Keesler Afb, MS and can be reached out via phone at 282-376-3021.

Location: 606 Fisher St, Keesler Afb, MS, 39534-2513
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699737825
Provider Name
Stephen Richard Gasparovich
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
606 Fisher St, Keesler Afb, MS, 39534-2513
Phone Number
282-376-3021
Fax Number
Provider Enumeration Date
04/04/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
606 Fisher St
City
Keesler Afb
State
Mississippi
Zip
39534-2513
Phone Number
282-376-3021
Fax Number
person
Provider Business Mailing Address Details
Address
606 Fisher St
City
Keesler Afb
State
Mississippi
Zip
39534-2513
Phone Number
282-376-3021
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
30022122 (Ohio)
Definition
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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