GANNON B. STAHL DDS PC NPI 1497912968

NPI Information

NPI: 1497912968
Provider Name: GANNON B. STAHL DDS PC

Doing Business As: PINEVIEW AESTHETIC & FAMILY DENTISTRY

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
14730 NE 8TH ST
STE. 105
BELLEVUE, WA
ZIP 98007
Phone: (425) 649-0800
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GANNON B. STAHL DDS PC is a dental clinic center in Bellevue, WA. GANNON B. STAHL DDS PC NPI is 1497912968. The provider is registered as an organization entity type.
The provider Is Doing Business As Pineview Aesthetic & Family Dentistry.

The provider's business location address is:

14730 NE 8TH ST
STE. 105
BELLEVUE, WA
ZIP 98007-116
Phone: (425) 649-0800
Fax: (425) 649-0806

The provider's authorized official is Gannon Blake Stahl .
The authorized official title is Owner and has the following contact phone number (425) 649-0800.

The enumeration date for this NPI number is 5/21/2008 and was last updated on 5/21/2008.

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
1	261QD0000X	Clinic/Center	Dental	DE00010985	WASHINGTON	Yes

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: 11/14/2023

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