Mitchell Louis Stave in Lodi - General Practice

Mitchell Louis Stave - NPI 1770664336

Mitchell Louis Stave is a General Practice in Lodi, New Jersey. Mitchell Louis Stave practices all healthcare services and medical treatments related to General Practice. The NPI Number for Mitchell Louis Stave is 1770664336. The last update date is 2007-07-08.

Mitchell Louis Stave's current location address is 374 Harrison Ave, Lodi, New Jersey. You can contact this provider via phone number 9733409047 and fax number 9733409047. The mailing address for Mitchell Louis Stave is 374 Harrison Ave, Lodi, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Name Mitchell Louis Stave
Address 374 Harrison Ave, Lodi, New Jersey
Phone Number 9733409047
Fax Number 9733409047
Sole Proprietor Y
Credentials D.M.D.

NPI Number Detail

NPI Number 1770664336
Provider Enumeration Date 2006-10-18
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 374 Harrison Ave
City Lodi
State New Jersey (NJ)
Post Code 76441121
Phone Number 9733409047
Fax Number 9733409047

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No DI14674
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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FAQs about Mitchell Louis Stave

What is the unique provider identifier assigned to Mitchell Louis Stave?

The Mitchell Louis Stave has been issued the NPI (National Provider Identifier) 1770664336 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where Mitchell Louis Stave's facilities are situated?

The facilities of Mitchell Louis Stave are physically located at the following address: 374 Harrison Ave, Lodi, NJ, 76441121.

What is Mitchell Louis Stave's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Mitchell Louis Stave is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.

When did the Mitchell Louis Stave receive its 1770664336?

The Mitchell Louis Stave was issued its 1770664336 on 2006-10-18, which is the date when the organization was assigned this unique identifier.

As of what date was the information regarding Mitchell Louis Stave, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Mitchell Louis Stave, 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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