1578797817 NPI number — DR. ARTHUR RICHARD STANGER DMD

Table of content: DR. ARTHUR RICHARD STANGER DMD (NPI 1578797817)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1578797817 NPI number — DR. ARTHUR RICHARD STANGER DMD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
STANGER
Provider First Name:
ARTHUR
Provider Middle Name:
RICHARD
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DMD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1578797817
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/13/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
875 MEADOWS RD STE 323
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BOCA RATON
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33486-2349
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
561-395-2003
Provider Business Mailing Address Fax Number:
561-395-2602

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
875 MEADOWS RD STE 323
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BOCA RATON
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33486-2349
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
561-395-2003
Provider Business Practice Location Address Fax Number:
561-395-2602
Provider Enumeration Date:
05/13/2009

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1223P0700X , with the licence number:  10982 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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