Individual
PAUL EDWARD STAUBITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5536 MUDDY CREEK RD, CINCINNATI, OH 45238-2030
(513) 481-7766
Mailing address
7919 HAWKHURST, CLEVES, OH 45002-2362
(513) 941-6273
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30-01-4476
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1639251895
DENTIST GENERAL PRACTICE
OH
Enumeration date
04/14/2007
Last updated
07/08/2007
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