DR. Jennifer Shannon Stachel, DMD
NPI #1326221094 in Lake Ronkonkoma, New York
Provider Information
- NPI Number
- 1326221094
- Entity Type
- Individual
- Name
- DR. Jennifer Shannon Stachel, DMD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist
- Credential
- DMD
- Enumeration Date
- Dec 17, 2007
- Last Updated
- Dec 17, 2007
Practice Location
- Address
- 500 PORTION RD
- City
- Lake Ronkonkoma
- State
- New York
- ZIP Code
- 11779-4587
- Phone
- (631) 588-1199
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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