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NPI Code Detail

MEDICARE: BRYAN HAROLD STIMMLER DDS

MEDICARE: BRYAN HAROLD STIMMLER 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
1122300000XDentist50055167NY

General Provider Information

NPI Number : 1912270984
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRYAN HAROLD STIMMLER DDS
Provider Business Mailing Address
First Line : 169 KENT ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11222-2105
Country : US
Telephone Number : 562-895-2532
Fax Number :
Provider Business Practice Location Address
First Line : 169 KENT ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11222-2105
Country : US
Telephone Number : 562-895-2532
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2012
Last Update Date : 03/11/2014

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Directions to “ BRYAN HAROLD STIMMLER DDS” Practice Location

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