Individual
DR. JEFFERY D. STAHLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
106 N RIDGE RD, MUNCIE, IN 47304-3739
(765) 284-2330
(765) 284-5283
Mailing address
6267 RED FOX RD, PENDLETON, IN 46064-9058
(765) 778-7917
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12009496A
IN
Other
Enumeration date
01/18/2007
Last updated
05/18/2016
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