Harold A Stalker, DDS
Individual provider Active NPI General Practice Dentistry · Barneveld, NY
NPI 1992870695 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1992870695
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 0474871 (NY)
- Practice address
- 7990 State Route 12
Barneveld, NY 13304 - Phone
- (315) 896-7293
- Fax
- (315) 896-7294
- NPI assigned
- Nov 21, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0474871 | NY | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 0474871 | NY | Yes |
Addresses
Primary practice location
7990 State Route 12
Barneveld, NY 13304
Mailing address
10243 Powell Road
Holland Patent, NY 13354
Phone (315) 896-7293
Other providers in Barneveld, NY
- Christie Seaver
- James H. Serour
- Kristina Shikula
- George E Spohr
- Everett M Stalker
- Laura Surman
- Upstate Cerebral Palsy, Inc.
- Upstate Family Health Center, Inc.
- Upstatecerebral Palsy, Inc.
- Susan M Vanvranken
All providers in Barneveld, NY · General Practice Dentistry in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.