Drs. Stukalin, P.A. in Dallas - Periodontics

Drs. Stukalin, P.A. - NPI 1205988441

Drs. Stukalin, P.A. is a Periodontics in Dallas, Texas. Drs. Stukalin, P.A. practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Drs. Stukalin, P.A. is 1205988441. The last update date is 2020-08-22.

Drs. Stukalin, P.A.'s current location address is 5925 Forest Ln Ste 318, Dallas, Texas. You can contact this provider via phone number 9724904881 and fax number 9724901270. The mailing address for Drs. Stukalin, P.A. is 5925 Forest Ln Ste 318, Dallas, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Drs. Stukalin, P.A.
Address 5925 Forest Ln Ste 318, Dallas, Texas
Phone Number 9724904881
Fax Number 9724901270
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Stukalin Ronald
Credentials D.D.S., M.
Telephone Number 9724904881

NPI Number Detail

NPI Number 1205988441
Provider Enumeration Date 2007-01-17
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 5925 Forest Ln Ste 318
City Dallas
State Texas (TX)
Post Code 752302776
Phone Number 9724904881
Fax Number 9724901270

Provider's Primary Taxonomy Detail

Speciality Periodontics
Taxonomy 1223P0300X
Licence No 15826
Definition:
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure

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FAQs about Drs. Stukalin, P.A.

What is the unique identifier code issued to Drs. Stukalin, P.A. by the Centers for Medicare & Medicaid Services?

The Drs. Stukalin, P.A. has been assigned the NPI (National Provider Identifier) 1205988441. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Drs. Stukalin, P.A. is physically located?

The Drs. Stukalin, P.A. is situated at the following address: 5925 Forest Ln Ste 318, Dallas, TX 752302776.

What is Drs. Stukalin, P.A.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Drs. Stukalin, P.A. is Periodontics, and the taxonomy code that categorizes this field of expertise is 1223P0300X.

When was the Drs. Stukalin, P.A.'s 1205988441 issued?

The Drs. Stukalin, P.A.'s 1205988441 was issued on 2007-01-17.

As of what date were the details pertaining to Drs. Stukalin, P.A. last refreshed?

The information related to the Drs. Stukalin, P.A., including its address, specialty, and other relevant details, was last updated on 2020-08-22.

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