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Organization

ANDREW P STADLER DDS PC

Active
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Organization

ANDREW P STADLER DDS PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANDREW P STADLER DDS PC (OWNER PRESIDENT)
(402) 564-4093
Entity
Organization

Contact information

Practice address
2457 33RD AVE, COLUMBUS, NE 68601-1309
(402) 564-4093
(402) 564-4086
Mailing address
PO BOX 1667, COLUMBUS, NE 68602-1667
(402) 564-4093
(402) 564-4086

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6208
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1448295
UNITED CONCORDIA
—
01
—
6248
BCBS
NE
01
—
76002976
BCBS
AL
01
—
Z87045
BCBS
MA
Enumeration date
10/31/2005
Last updated
07/09/2015
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