Gary Edward Staadt, D.D.S.

General Practice Dentistry · Brazil, IN

Individual Active NPI

NPI number 1093843823

Practice location

1204 E National Ave
Brazil, IN 47834-2718
Phone
(812) 446-1211

Open in Google Maps

NPI record

NPI
1093843823
Entity type
Individual (Type 1)
Enumeration date
March 1, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 12008618A IN

Mailing address

1204 E National Ave
P.O. Box 603
Brazil, IN 47834-2718
Phone
(812) 446-1211

About Dr. Staadt

Gary Edward Staadt, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1204 E National Ave, Brazil, IN 47834-2718. The NPI number 1093843823 was assigned on March 1, 2007 and the record was last updated on July 8, 2007.

Dr. Staadt lists a license in the registry: #12008618A (IN) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Gary Edward Staadt, D.D.S.?

The NPI number is 1093843823.

What is the phone number of Dr. Staadt?

The phone number listed for the practice location is (812) 446-1211.

Where is Dr. Staadt located?

1204 E National Ave, Brazil, IN 47834-2718.

What is the taxonomy code for Dr. Staadt?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other General Practice Dentistry providers in Brazil

All General Practice Dentistry providers in Brazil, IN →