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Active NPI 1235363243 Organization (Entity Type 2)

Dr. Dan L. Stambuagh

Dentist - General Practice • Springfield, OR

About Dr. Dan L. Stambuagh NPI 1235363243 Summary

Dr. Dan L. Stambuagh is a verified healthcare organization specializing in Dentist - General Practice operating in Springfield, OR. Located at 244 N 6TH ST, this facility provides patient care and medical services under National Provider Identifier (NPI) 1235363243.

Administrative operations and authorized compliance are overseen by Dan Stambaugh (Dentist).

The facility is associated with 1 linked healthcare practitioner providing clinical services.

Facility Location & Contact Primary Location

Facility Address

244 N 6th St

Springfield, OR 974774602

Telephone 5417464417
Fax 5417464419

Authorized Official Information

Authorized Contact Name

Dan Stambaugh , DMD

Title / Role

Dentist

Official Telephone

5417464417

Facility Classifications & Specialties

Dentist - General Practice Primary Taxonomy

NUCC Taxonomy Code: 1223G0001X

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.

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

1 Linked

Dentist - General Practice

Springfield, OR

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
NPI Profile Active May 05, 2009

NPI status registered as active in NPPES database

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Updated Practice Location May 05, 2009

Registered at 244 N 6TH ST, SPRINGFIELD, OR 974774602 (Tel: 5417464417)

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Updated Business Mailing Address May 05, 2009

Registered at 244 N 6TH ST, SPRINGFIELD, OR 974774602 (Tel: 5417464417)

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Organization / Clinic Name Updated May 05, 2009

Operating as DR. DAN L. STAMBUAGH

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 05, 2009

Dentist (License #D6568 in OR)

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Initial NPI Registration & Enumeration May 05, 2009

First registered as active Healthcare Organization in NPPES Database.

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NPI Organization Metadata

NPI Number: 1235363243
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: May 05, 2009
Last Update: May 05, 2009

Mailing Address

244 N 6th St

Springfield, OR 974774602

Phone: 5417464417

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.