# ANDREW P STADLER DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538150412
- **Authorized official:** DR. ANDREW P STADLER DDS PC (OWNER PRESIDENT)
- **Authorized official phone:** (402) 564-4093

## Contact information

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

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 6208 | NE | Yes |

## Other

- **Enumeration date:** 10/31/2005
- **Last updated:** 07/09/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1448295 | UNITED CONCORDIA | — |
| 01 | — | 6248 | BCBS | NE |
| 01 | — | 76002976 | BCBS | AL |
| 01 | — | Z87045 | BCBS | MA |