# RYAN K. STAEHLING, DDS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Southern Dental Arts
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225318264
- **Authorized official:** DR. RYAN KEITH STAEHLING DDS (MEMBER, MANAGER, AND ORGANIZER)
- **Authorized official phone:** (225) 802-1345

## Contact information

- **Practice address:** 6500 CREEDMOOR RD, SUITE 204, RALEIGH, NC 27613-3697
- **Practice address phone:** (919) 706-0565
- **Practice address fax:** (919) 706-0564
- **Mailing address:** 6500 CREEDMOOR RD, SUITE 204, RALEIGH, NC 27613-3697
- **Mailing address phone:** (919) 706-0565
- **Mailing address fax:** (919) 706-0564

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 8896 | NC | Yes |

## Other

- **Enumeration date:** 08/22/2011
- **Last updated:** 12/03/2011