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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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