Provider Demographics
NPI:1518110519
Name:STELZER, JOSHUA L (DMD)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:L
Last Name:STELZER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1108 N BETHLEHEM PIKE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:LOWER GWYNEDD
Mailing Address - State:PA
Mailing Address - Zip Code:19002-1423
Mailing Address - Country:US
Mailing Address - Phone:215-646-5777
Mailing Address - Fax:215-646-0566
Practice Address - Street 1:1108 N BETHLEHEM PIKE
Practice Address - Street 2:SUITE 2
Practice Address - City:LOWER GWYNEDD
Practice Address - State:PA
Practice Address - Zip Code:19002-1423
Practice Address - Country:US
Practice Address - Phone:215-646-5777
Practice Address - Fax:215-646-0566
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-04
Last Update Date:2011-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0362251223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice