Organization Active NPI

Jerry H Stahl DMD PC

Doing business as Stahl Dental Studio

  • General Practice Dentistry
  • Fair Lawn, NJ
National Provider Identifier
1346368743
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14077 Issued in NJ
Legal business name
JERRY H STAHL DMD PC
Doing business as
Stahl Dental Studio
Practice address
8-10 Saddle River Rd
Fair Lawn, NJ 07410-5720
Phone
(201) 797-8711
Fax
(201) 791-7893
NPI assigned
Mar 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jerry H Stahl, DMDNPI 1396879532
Title
President
Phone
(201) 797-8711

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 14077 NJ Primary

Addresses

Primary practice location

8-10 Saddle River Rd
Fair Lawn, NJ 07410-5720

Mailing address

8-10 Saddle River Rd
Fair Lawn, NJ 07410-5720
Phone (201) 797-8711

Other names 1

  • Stahl Dental Studio Doing business as

National Provider Directory

National Provider Directory

Locations

8-10 Saddle River Rd
Fair Lawn, NJ 07410
Phone (201) 797-8711

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346368743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8-10 SADDLE RIVER RD",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074105720",
            "telephone_number": "201-797-8711",
            "fax_number": "201-791-7893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8-10 SADDLE RIVER RD",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074105720",
            "telephone_number": "201-797-8711",
            "fax_number": "201-791-7893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERRY H STAHL DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STAHL",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-797-8711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "14077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stahl Dental Studio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fair Lawn, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.