Mitchell Louis Stave, D.M.D.

General Practice Dentistry · Lodi, NJ

Individual Active NPI

NPI number 1770664336

Practice location

374 Harrison Ave
Lodi, NJ 07644-1121
Phone
(973) 340-9047
Fax
(973) 340-9047

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NPI record

NPI
1770664336
Entity type
Individual (Type 1)
Enumeration date
October 18, 2006
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X DI14674 NJ

About Dr. Stave

Mitchell Louis Stave, D.M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 374 Harrison Ave, Lodi, NJ 07644-1121. The NPI number 1770664336 was assigned on October 18, 2006 and the record was last updated on July 8, 2007.

Dr. Stave lists a license in the registry: #DI14674 (NJ) 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 Mitchell Louis Stave, D.M.D.?

The NPI number is 1770664336.

What is the phone number of Dr. Stave?

The phone number listed for the practice location is (973) 340-9047.

Where is Dr. Stave located?

374 Harrison Ave, Lodi, NJ 07644-1121.

What is the taxonomy code for Dr. Stave?

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.

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