Bryan David Stahl in Fox River Grove - General Practice
Bryan David Stahl - NPI 1154431765
Bryan David Stahl is a General Practice in Fox River Grove, Illinois. Bryan David Stahl practices all healthcare services and medical treatments related to General Practice. The NPI Number for Bryan David Stahl is 1154431765. The last update date is 2007-07-08.
Bryan David Stahl's current location address is 1109 Lincoln Ave, Fox River Grove, Illinois. You can contact this provider via phone number 8475161933. The mailing address for Bryan David Stahl is 1109 Lincoln Ave, Fox River Grove, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bryan David Stahl |
|---|---|
| Address | 1109 Lincoln Ave, Fox River Grove, Illinois |
| Phone Number | 8475161933 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1154431765 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1109 Lincoln Ave |
|---|---|
| City | Fox River Grove |
| State | Illinois (IL) |
| Post Code | 60021 |
| Phone Number | 8475161933 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique 10-digit identification code assigned to Bryan David Stahl by the Centers for Medicare & Medicaid Services?
The Bryan David Stahl has been issued the NPI (National Provider Identifier) 1154431765, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Bryan David Stahl located?
The Bryan David Stahl is located at 1109 Lincoln Ave, Fox River Grove, IL 60021.
What is Bryan David Stahl's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Bryan David Stahl is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1154431765 to Bryan David Stahl?
The Centers for Medicare & Medicaid Services originally issued the 1154431765 to Bryan David Stahl on 2006-08-30.
As of what date was the information regarding Bryan David Stahl, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Bryan David Stahl, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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