OrganizationActive
Dr. Stephen C. Waller, DDS, LLC
NPI 1992984173 · General Practice Dentistry · Ellington, MO
Dr. Stephen C. Waller, DDS, LLC is a General Practice Dentistry organization in Ellington, MO (NPI 1992984173).
Provider details
- NPI number
- 1992984173
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Stephen Waller, Dentist(573) 756-4344
- License
- 1999135982 (MO)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
115 Walnut St
Ellington, MO 63638
Phone: (573) 756-4344
Fax: (573) 756-4699
Street-level locationGet directions
Mailing address
Po Box 157
Ellington, MO 63638-0157
Registry dates
- Enumerated
- 2007-10-24
- Last updated
- 2009-01-22
Frequently asked questions
- What is Dr. Stephen C. Waller, DDS, LLC's NPI number?
- Dr. Stephen C. Waller, DDS, LLC's National Provider Identifier (NPI) is 1992984173, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dr. Stephen C. Waller, DDS, LLC?
- Dr. Stephen C. Waller, DDS, LLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Dr. Stephen C. Waller, DDS, LLC located?
- Dr. Stephen C. Waller, DDS, LLC's practice location on file with NPPES is 115 Walnut St, Ellington, MO 63638.
- What is Dr. Stephen C. Waller, DDS, LLC's phone number?
- The practice phone number listed in the NPPES registry for Dr. Stephen C. Waller, DDS, LLC is (573) 756-4344.
- Who is the authorized official for Dr. Stephen C. Waller, DDS, LLC?
- The authorized official listed on Dr. Stephen C. Waller, DDS, LLC's NPPES record is Stephen Waller, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dr. Stephen C. Waller, DDS, LLC's NPI active?
- Yes — Dr. Stephen C. Waller, DDS, LLC's NPI (1992984173) is active in the NPPES registry as of the last update on 2009-01-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.