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Contact Information

SCOTT P STADSKLEV, DDS
220 22ND AVE E
SUITE 105
ALEXANDRIA, MN56308
 Phone: 320-762-0100
 Fax: 888-763-0267
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for SCOTT P STADSKLEV · (Male)

NPI # 1306905724
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 12/08/2006
Last updated 07/24/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • MN License # D12271
  • MN Medicaid 613642700
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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