Active NPIIndividual providerSole proprietor

Jeffrey Stathis, DMD

Dentist, General Practice in Bradford, Massachusetts

NPI Number1053799742
Practice location
477 S Main St, Bradford, MA 01835-7247
Fax
—
Last updated
May 13, 2015

Jeffrey Stathis is a Dentist, General Practice based in Bradford, MA. Jeffrey Stathis practices in Bradford, MA and has the professional credentials of DMD. The NPI Number for Jeffrey Stathis is 1053799742 and holds a License No. DN22308 (MA). The current practice location address for Jeffrey Stathis is 477 S Main St, Bradford, MA 01835-7247 and can be reached out via phone at 978-373-5666.

Provider Profile Details

NPI Number
1053799742
Provider Name
Jeffrey Stathis
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
477 S Main St, Bradford, MA 01835-7247
Phone Number
978-373-5666
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
May 13, 2015
Last Update Date
May 13, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
477 S Main St
Bradford, MA 01835-7247
Zip
01835-7247
Phone Number
978-373-5666
Bradford, MA 01835Get directions →

Provider Business Mailing Address Details

Address
477 S Main St
Bradford, MA 01835-7247
City
Bradford
State
MA
Zip
01835-7247
Phone Number
978-373-5666

License Information

License Number
DN22308
License State
MA
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jeffrey Stathis, DMD?

The NPI number of Jeffrey Stathis, DMD is 1053799742. It was assigned on May 13, 2015 and is currently active in the NPPES registry.

What is the specialty of Jeffrey Stathis, DMD?

Jeffrey Stathis, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number DN22308.

Where does Jeffrey Stathis, DMD practice?

The practice location is 477 S Main St, Bradford, MA 01835-7247. The office can be reached at 978-373-5666 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053799742 directly on the NPPES registry website.

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