DR. ERIC F STICH D.D.S. NPI 1639142169

NPI Information

NPI: 1639142169
Provider Name: DR. ERIC F STICH, D.D.S.
Classification: Dentist - 1223S0112X
Specialization: Oral and Maxillofacial Surgery
Entity Type: Individual
PECOS Registration: Yes
Address: 7373 FRANCE AVE S
SUITE 602
EDINA, MN
ZIP 55435
Phone: (952) 835-5003

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NPI Details

DR. Eric F Stich, D.D.S. is an oral and maxillofacial surgery dentist in Edina, MN with 36 years of experience. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DR. Eric F Stich, D.D.S. NPI is 1639142169. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MINNESOTA SCHOOL OF DENTISTRY
Graduation Year:1989

The provider's business location address is:

7373 FRANCE AVE S
SUITE 602
EDINA, MN
ZIP 55435-534
Phone: (952) 835-5003
Fax: (952) 835-9598

The NPI 1639142169 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/7/2006 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
1	1223S0112X	Dentist	Oral and Maxillofacial Surgery	D10385	MINNESOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	U55806	MEDICARE UPIN	MINNESOTA
2	8624412	OTHER	MINNESOTA	MEDICA NUMBER
3	217L8ST	OTHER	MINNESOTA	BCBS NUMBER

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: 3/30/2025

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