Provider Demographics
NPI:1609441120
Name:CENTRAL DENTAL SPECIALISTS, P.C.
Entity Type:Organization
Organization Name:CENTRAL DENTAL SPECIALISTS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL STANGLER
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:STANGLER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MDS
Authorized Official - Phone:763-221-5190
Mailing Address - Street 1:114 CENTRAL ST
Mailing Address - Street 2:
Mailing Address - City:STONEHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02180-1207
Mailing Address - Country:US
Mailing Address - Phone:781-438-6618
Mailing Address - Fax:
Practice Address - Street 1:114 CENTRAL ST
Practice Address - Street 2:
Practice Address - City:STONEHAM
Practice Address - State:MA
Practice Address - Zip Code:02180-1207
Practice Address - Country:US
Practice Address - Phone:781-438-6618
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-26
Last Update Date:2021-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0700XDental ProvidersDentistProsthodonticsGroup - Multi-Specialty
No1223P0300XDental ProvidersDentistPeriodonticsGroup - Multi-Specialty