# GANNON B. STAHL DDS PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Pineview Aesthetic & Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497912968
- **Authorized official:** DR. GANNON BLAKE STAHL DDS (OWNER)
- **Authorized official phone:** (425) 649-0800

## Contact information

- **Practice address:** 14730 NE 8TH ST, STE. 105, BELLEVUE, WA 98007-4116
- **Practice address phone:** (425) 649-0800
- **Practice address fax:** (425) 649-0806
- **Mailing address:** 14730 NE 8TH ST, STE. 105, BELLEVUE, WA 98007-4116
- **Mailing address phone:** (425) 649-0800
- **Mailing address fax:** (425) 649-0806

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | DE00010985 | WA | Yes |

## Other

- **Enumeration date:** 05/21/2008
- **Last updated:** 05/21/2008