Scott Stanke, DDS

NPI 1417060856 · on the registry since 2006 · sole proprietor

Practice

Address: 2050 Marquette Rd
Suite 400
Peru, IL 61354
Phone: (815) 224-4144
Fax: (815) 224-4192
Organisation at this address: Illinios Valley Oral Surgeons, P.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 1223P0300X
1223P0300X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois