Most Relevant Information
Provider Data
| NPI Number: | 1003393810 |
| Provider Name: | STEPHANIE LYNN HAWLEY DMD |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | 041854 |
Most Important Dates
| Enumeration Date: | 07/24/2018 |
| Last Updated: | 08/12/2024 |
Provider Practice Location
1491 E 10TH ST
ROLLA
MO
654013996
Practice Location Phone/Fax
| Phone: | 5733642868 |
| Fax: |
Provider Mailing Location
1491 E 10TH ST
ROLLA
MO
654013996
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |