Ronald Stanko, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3445 Issued in NH

Practice address

107 Main Street
Plymouth, NH 03264

Phone

(603) 536-4009

Fax

(603) 536-1033

NPI assigned

Jul 20, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lifetime Dental Professionals of New Hampshire, P.C.

  dba Main Street Dental

  • General Practice Dentistry
  • Plymouth, NH
  • NPI 1497979918
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003836206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 MAIN STREET",
            "city": "PLYMOUTH",
            "state": "NH",
            "postal_code": "03264",
            "telephone_number": "603-536-4009",
            "fax_number": "603-536-1033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 MAIN STREET",
            "city": "PLYMOUTH",
            "state": "NH",
            "postal_code": "03264",
            "telephone_number": "603-536-4009",
            "fax_number": "603-536-1033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANKO",
        "first_name": "RONALD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NH",
            "license": "3445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30303285",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Speare Memorial Hospital (Wound Care & Hyperbaric Medicine Center)
• Speare Memorial Hospital (Speare Memorial School Dental Health Dentists)
• Laura Spears
• Suzanne Sportiello, PT
• Rachel Springmann
• Leah-Yaxi Waltman Stapp, DPT
• Kaleigh Rose Stclair
• Hannah Beth Heidi Steinitz, PH.D.
• Steven Birkitt DDS
• Heather Leigh Stewart, FNP

• General Practice Dentistry in Plymouth, NH
• Providers in Plymouth, NH by specialty
• General Practice Dentistry in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.