Most Relevant Information
Provider Data
| NPI Number: | 1003831199 |
| Provider Name: | JEFFREY ROBERT STUMP DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 1223X0400X |
| Specialty: | Dentist |
| License Number: | 104655 |
Most Important Dates
| Enumeration Date: | 07/12/2006 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
101 WEST MAIN ST
STE. 105
FRISCO
CO
804430645
Practice Location Phone/Fax
| Phone: | 9706683118 |
| Fax: | 9706683166 |
Provider Mailing Location
PO BOX 645
FRISCO
CO
804430645
Provider Mailing Phone/Fax
| Phone: | 9706683118 |
| Fax: | 9706683166 |