Jeffrey Gilbert Staller in Philadelphia - General Practice
Jeffrey Gilbert Staller - NPI 1316927890
Jeffrey Gilbert Staller is a General Practice in Philadelphia, Pennsylvania. Jeffrey Gilbert Staller practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jeffrey Gilbert Staller is 1316927890. The last update date is 2007-07-08.
Jeffrey Gilbert Staller's current location address is 6818 Castor Ave, Philadelphia, Pennsylvania. You can contact this provider via phone number 2157421200 and fax number 2157428065. The mailing address for Jeffrey Gilbert Staller is 6818 Castor Ave, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey Gilbert Staller |
|---|---|
| Address | 6818 Castor Ave, Philadelphia, Pennsylvania |
| Phone Number | 2157421200 |
| Fax Number | 2157428065 |
| Sole Proprietor | X |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1316927890 |
|---|---|
| Provider Enumeration Date | 2006-01-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6818 Castor Ave |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 191492106 |
| Phone Number | 2157421200 |
| Fax Number | 2157428065 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | DS018156-L |
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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 Jeffrey Gilbert Staller's unique identification number?
The Jeffrey Gilbert Staller has been assigned the NPI (National Provider Identifier) Number 1316927890 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Jeffrey Gilbert Staller's physical address?
The Jeffrey Gilbert Staller is physically located at 6818 Castor Ave, in the city of Philadelphia, PA, with the postal code 191492106.
What is the area of specialization for Jeffrey Gilbert Staller, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jeffrey Gilbert Staller is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.
On what date was the 1316927890 assigned to Jeffrey Gilbert Staller?
The Jeffrey Gilbert Staller was issued its 1316927890 on 2006-01-19, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Jeffrey Gilbert Staller's details last updated?
The information pertaining to the Jeffrey Gilbert Staller, including its address, specialty, and other details, was most recently updated on 2007-07-08.