Mark Stahl, DDS, PS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE60076890 Issued in WA

Legal business name

MARK STAHL, DDS, PS

Practice address

3216 NE 45TH PL
Suite 213
Seattle, WA 98105-4093

Phone

(206) 522-0466

Fax

(206) 522-0492

NPI assigned

Dec 1, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Mark Alan Stahl, DDS

Title

President, Secretary, Treasurer

Phone

(206) 522-0466

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1291161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291161600000",
    "number": "1083916738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3216 NE 45TH PL",
            "address_2": "SUITE 213",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981054093",
            "telephone_number": "206-522-0466",
            "fax_number": "206-522-0492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3216 NE 45TH PL",
            "address_2": "SUITE 213",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981054093",
            "telephone_number": "206-522-0466",
            "fax_number": "206-522-0492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK STAHL, DDS, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-01",
        "last_updated": "2010-12-01",
        "status": "A",
        "authorized_official_last_name": "STAHL",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT, SECRETARY, TREASURER",
        "authorized_official_telephone_number": "206-522-0466",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60076890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Ellestad, MD - Psychiatric Services, PLLC
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• Mark R McClung MD PC
• Mark R. Grace, D.D.S., PLLC
• Mark S. Jyringi, DC, PS
• Mark Waind DDS, PS
• Alastair John Mark
• Anthony Michael Mark, DPT
• Dominique Gabriele Mark, PHARMD
• Joshua L Mark, PHARM.D., R.PH.

• General Practice Dentistry in Seattle, WA
• Providers in Seattle, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2010; 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.