John W Stahl, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

008695 Issued in CT

Practice address

317 Flanders Rd
East Lyme, CT 06333-1711

Phone

(860) 739-5700

NPI assigned

Oct 31, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558447458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 SEABURY AVE",
            "city": "LEDYARD",
            "state": "CT",
            "postal_code": "063391343",
            "telephone_number": "860-464-6534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 FLANDERS RD",
            "city": "EAST LYME",
            "state": "CT",
            "postal_code": "063331711",
            "telephone_number": "860-739-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAHL",
        "first_name": "JOHN",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "008695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Soul Synergy LLC
• Jay Edward Souza-Erlandson, LCSW
• Maureen Lynn Spitzer, MD
• Elizabeth Stadler-Rheaume, OT
• Jonathan Scott Stadler
• Michelle Stallworth, LPC
• Startingpoint Therapy LLC
• Alison L Stewart, PTA
• Anita Marie Stolle, RPH
• Julie Lynn Summers, MS, CCC-SLP

• General Practice Dentistry in East Lyme, CT
• Providers in East Lyme, CT by specialty
• General Practice Dentistry in Connecticut

• 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.