Jerry H Stahl, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

14077 Issued in NJ

Practice address

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

Phone

(201) 797-8711

Fax

(201) 791-7893

NPI assigned

Mar 16, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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 and National Provider Directory roles.

• Jerry H Stahl DMD PC

  dba Stahl Dental Studio

  • General Practice Dentistry
  • Fair Lawn, NJ
  • NPI 1346368743
  NPD (past) Authorized official

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396879532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13-36 LYLE TER",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074105146",
            "telephone_number": "201-797-4546"
        },
        {
            "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": {
        "last_name": "STAHL",
        "first_name": "JERRY",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "14077",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "037550-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arnold Arthur Sperling, ED.D, APN
• Deepak Srinivasan, M.D.
• Chloe St. Laurent, OTR/L
• Staffingplus Inc
• Chelsea Stahl-Sapin
• Alyssa Staniland, LSW
• William Stasic, D.C.
• Stay Well Services, Inc.
• Brittany Steepy, P.A.
• Jennifer Stefanik

• General Practice Dentistry in Fair Lawn, NJ
• Providers in Fair Lawn, NJ by specialty
• General Practice Dentistry in New Jersey

• 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.