BLAKE CHARLES STUART (NPI# 1578756482) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578756482 |
| Entity Type | Individual |
| Full Name | BLAKE CHARLES STUART |
| Credential | D.D.S |
| Practice Address |
Landstuhl Dental Activity, Hq Marceau Kaserne Bldg 3703, Rm 205 Landstuhl KIRCHBERG 09180 DE |
| Mailing Address |
Landstuhl Dentac Cmr 402 Apo AE 09180 |
| Practice Telephone | 06371929130 |
| Mailing Telephone | 4963719464430 |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2016-08-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 6697176-9921 | UT | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
6697176-9921 | UT | Dental Providers |
| Street Address |
LANDSTUHL DENTAL ACTIVITY, HQ MARCEAU KASERNE BLDG 3703, RM 205 |
| City | LANDSTUHL |
| State | KIRCHBERG |
| Zip Code | 09180 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730433830 | Kony Park | Dentist | Landstuhl Dental Activity, Hq, Marceau Kaserne Bldg 3703, Rm 205, Landstuhl, KIRCHBERG 09180 | 2012-10-29 |
| 1558610584 | Chao Hua Shen | Dentist | Landstuhl Dental Activity, Hq, Marceau Kaserne Bldg 3703, Rm 205, Landstuhl, KIRCHBERG 09180 | 2012-09-06 |
| 1528398856 | Clara Gandolfi | Dental Hygienist | Landstuhl Dental Activity, Hq, Marceau Kaserne Bldg 3703, Rm 205, Landstuhl, KIRCHBERG 09180 | 2010-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174166656 | Samuel Mow | Military Health Care Provider | Landshul Regional Medical Center, Apo, AE 09180 | 2019-10-28 |
| 1265093017 | Corby M Dixon | Dentist | Landstul Dental Health Activity, Bldg 3703, Rm 205, Apo, AE 09180 | 2019-06-24 |
| 1619440922 | Joo Park | Dentist | Cmr 402 Unit 33301, Apo, AE 09180 | 2019-01-09 |
| 1518374743 | Nathan Persell | Dentist | Landstuhl Dental Activity Hq, Marceau Kaserne Bldg 3703, Rm 205, Landstuhl, KIRCHBERG 09180 | 2014-07-21 |
| 1558617985 | Schuyler Brent Sessions | Dentist | Bldg 3703 Rm 205, Apo, AE 09180 | 2012-08-03 |
| 1649555418 | Jacob Naylor | Physical Therapist | Cmr 402, Box 1700, Apo, AE 09180 | 2011-10-12 |
| 1174832505 | Amy Lunell Spotanski | Advanced Practice Midwife | 3763 Dr Hitzelberger Strase, Apo, AE 09180 | 2010-10-04 |
| 1629383112 | Benjamin P. Spang | Social Worker | Cmr 402, Box 1096, Apo, AE 09180 | 2010-08-09 |
| 1457681595 | Emily Ann Schulze Koeneke | Pharmacist | Cmr 402 Landstuhl Regional Medical Center, Apo, AE 09180 | 2010-01-13 |
| 1992030241 | Troy Kirk Lundell | Dentist | Usa Dentac Landstuhl, Cmr 402 Bldg 3703, Apo, AE 09180 | 2009-10-05 |
| Find all providers in zip 09180 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700914017 | Aixa M Torres-ramirez | Dentist | Zur Melkerei 75, Landstuhl, GERMANY 66849 | 2007-02-28 |
| 1942270210 | Stephen Jay Tanner | Dentist | Hw, Landstuhl Dental Activity, Geb 3703, Rm 205, Landstuhl, LANDSTUHL 66849 | 2006-01-26 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.