Dr. Mitchell L Stave, DMD
Dentist, General Practice in Lodi, New Jersey
1770664336- Practice location
- 374 Harrison Ave, Lodi, NJ 07644-1121
- Phone
- 973-340-9047
- Fax
- 973-340-9047
- Last updated
- July 8, 2007
Mitchell Louis Stave is a Dentist, General Practice based in Lodi, NJ. Mitchell Louis Stave practices in Lodi, NJ and has the professional credentials of DMD. The NPI Number for Mitchell Louis Stave is 1770664336 and holds a License No. DI14674 (NJ). The current practice location address for Mitchell Louis Stave is 374 Harrison Ave, Lodi, NJ 07644-1121 and can be reached out via phone at 973-340-9047 and via fax at 973-340-9047.
Provider Profile Details
- NPI Number
- 1770664336
- Provider Name
- Mitchell Louis Stave
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 374 Harrison Ave, Lodi, NJ 07644-1121
- Phone Number
- 973-340-9047
- Fax Number
- 973-340-9047
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 18, 2006
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 374 Harrison Ave
Lodi, NJ 07644-1121 - City
- Lodi
- State
- New Jersey
- Zip
- 07644-1121
- Phone Number
- 973-340-9047
- Fax Number
- 973-340-9047
Provider Business Mailing Address Details
- Address
- 374 Harrison Ave
Lodi, NJ 07644-1121 - City
- Lodi
- State
- NJ
- Zip
- 07644-1121
- Phone Number
- 973-340-9047
- Fax Number
- 973-340-9047
License Information
- License Number
- DI14674
- License State
- NJ
- Taxonomy
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Dr. Mitchell L Stave, DMD?
The NPI number of Dr. Mitchell L Stave, DMD is 1770664336. It was assigned on October 18, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Mitchell L Stave, DMD?
Dr. Mitchell L Stave, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number DI14674.
Where does Dr. Mitchell L Stave, DMD practice?
The practice location is 374 Harrison Ave, Lodi, NJ 07644-1121. The office can be reached at 973-340-9047 (phone) or 973-340-9047 (fax).
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 1770664336 directly on the NPPES registry website.