Stahl, Berry

Stahl, Berry is an individual health care provider with primary practice located at 370 Broad Ave Suite 200, Englewood NJ 07631-4305. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Stahl, Berry can be contacted via phone (201) 871-3555.

Contact Information

Primary practice address
370 Broad Ave Suite 200 Englewood NJ 07631-4305
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 14655 New Jersey
Dental Providers / Dentist 122300000X 38634 New York
Dental Providers / Dentist 122300000X 10236 Florida

Profile Details

NPI number 1780654947
LBN Legal business name Stahl, Berry
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780654947 NPPES
New York MEDICAID 00984161

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