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DR. RONALD SETH STUKALIN D.D.S. M.S. NPI 1841310406


NPI Information

NPI: 1841310406
Provider Name: DR. RONALD SETH STUKALIN, D.D.S., M.S.
Classification: Dentist - 1223P0300X
Entity Type: Individual

Specialization: Periodontics

PECOS Registration: Yes

Address:
5925 FOREST LN STE 318
DALLAS, TX
ZIP 75230
Phone: (972) 490-4881
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DR. Ronald Seth Stukalin, D.D.S., M.S. is a periodontics dentist in Dallas, TX. The provider is 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 structures and tissues. DR. Ronald Seth Stukalin, D.D.S., M.S. NPI is 1841310406. 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:

5925 FOREST LN STE 318
DALLAS, TX
ZIP 75230-776
Phone: (972) 490-4881
Fax: (972) 490-1270

The NPI 1841310406 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).

The enumeration date for this NPI number is 3/29/2007 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0300XDentistPeriodontics15826TEXASYes

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: 4/28/2024

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