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NPI Code Detail

MEDICARE: PHILIP F STADELMANN DDS

MEDICARE: PHILIP F STADELMANN DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice DentistryDN 9051FL

General Provider Information

NPI Number : 1366447153
Entity Type Code : Individual
Provider Name (Legal Business Name) : PHILIP F STADELMANN DDS
Provider Business Mailing Address
First Line : 4561 CHALLENGER WAY
Second Line : APT 59
City : WEST PALM BEACH
State : FL
Zip : 33417-8088
Country : US
Telephone Number : 561-687-0746
Fax Number :
Provider Business Practice Location Address
First Line : 7305 N MILITARY TRL
Second Line :
City : RIVIERA BEACH
State : FL
Zip : 33410-7417
Country : US
Telephone Number : 561-422-6582
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2005
Last Update Date : 07/08/2007

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Directions to “ PHILIP F STADELMANN DDS” Practice Location

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