Provider Demographics
NPI:1750910329
Name:STUEVE, CHARLOTTE MARIE (DDS)
Entity type:Individual
Prefix:DR
First Name:CHARLOTTE
Middle Name:MARIE
Last Name:STUEVE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:CHARLOTTE
Other - Middle Name:MARIE
Other - Last Name:DONAWAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:4109 CITATION DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65202-4516
Mailing Address - Country:US
Mailing Address - Phone:314-606-7793
Mailing Address - Fax:
Practice Address - Street 1:409 VANDIVER DR STE 102
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65202-3754
Practice Address - Country:US
Practice Address - Phone:573-814-1694
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-06
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2020021107122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist