Provider Demographics
NPI:1306160551
Name:DR. CLIFFORD M. STAMPER, DDS, PA
Entity type:Organization
Organization Name:DR. CLIFFORD M. STAMPER, DDS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CLIFFORD
Authorized Official - Middle Name:M
Authorized Official - Last Name:STAMPER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, PA
Authorized Official - Phone:828-437-2727
Mailing Address - Street 1:812 W UNION ST
Mailing Address - Street 2:
Mailing Address - City:MORGANTON
Mailing Address - State:NC
Mailing Address - Zip Code:28655-4228
Mailing Address - Country:US
Mailing Address - Phone:828-437-2727
Mailing Address - Fax:828-437-2710
Practice Address - Street 1:812 W UNION ST
Practice Address - Street 2:
Practice Address - City:MORGANTON
Practice Address - State:NC
Practice Address - Zip Code:28655-4228
Practice Address - Country:US
Practice Address - Phone:828-437-2727
Practice Address - Fax:828-437-2710
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-17
Last Update Date:2010-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty