DR. GARY EDWARD STAADT D.D.S. NPI 1093843823

NPI Information

  • NPI: 1093843823
  • Provider Name: DR. GARY EDWARD STAADT, D.D.S.
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • Address: 1204 E NATIONAL AVE
    BRAZIL, IN
    ZIP 47834
  • Phone: (812) 446-1211

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NPI Details

DR. Gary Edward Staadt, D.D.S. is a general practice dentist in Brazil, IN. The provider is 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. DR. Gary Edward Staadt, D.D.S. NPI is 1093843823. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1204 E NATIONAL AVE
BRAZIL, IN
ZIP 47834-718
Phone: (812) 446-1211

The enumeration date for this NPI number is 3/1/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice12008618AINDIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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