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NPI 1811396708

NPI 1811396708 : DAVID STERZER D.D.S. : BILLINGS, MT

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General NPI Number Information
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    NPI Number           |    1811396708
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    Entity Type          |    Individual 
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    Provider Name        |    DAVID STERZER D.D.S.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/18/2014
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    Last Update Date     |    03/17/2018
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Provider Practice Location Address
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    Address Line         |    10 AVANTA WAY STE 3 
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    City                 |    BILLINGS
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    State                |    MT
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    Zip                  |    59102-6874
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    Country              |    US
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    Telephone            |    406-702-1303
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    Fax                  |    406-446-1559
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Provider Business Mailing Address
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    Address Line         |    203 7TH AVE S 
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    City                 |    NAMPA
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    State                |    ID
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    Zip                  |    83651-3846
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    Country              |    US
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    Telephone            |    208-466-8400
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    122300000X
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    Taxonomy Name        |    Dentist
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    License Number       |    4634
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    License Number State |    ID
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Taxonomy #2
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    Taxonomy Code        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    13986
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    License Number State |    MT
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