Dr Gannon Blake Stahl, DDS - Dentist in Bellevue, WA

Dr Gannon Blake Stahl, DDS is a Dentist - General Practice based in Bellevue, Washington. Dr Gannon Blake Stahl is licensed to practice in Washington (license number DE00010985) and his current practice location is 14030 Ne 24th St Ste 100, Bellevue, Washington. He can be reached at his office (for appointments etc.) via phone at (425) 641-3668.

NPI number for Dr Gannon Blake Stahl is 1598959413 and his current mailing address is 14030 Ne 24th St Ste 100, Bellevue, Washington. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1598959413.

Contact Information

Dr Gannon Blake Stahl, DDS
14030 Ne 24th St Ste 100,
Bellevue, WA 98007-3724
(425) 641-3668
(425) 747-7611

Map and Direction




Healthcare Provider's Profile

Full NameDr Gannon Blake Stahl
GenderMale
SpecialityDentist - General Practice
Location14030 Ne 24th St Ste 100, Bellevue, Washington
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1598959413
  • Provider Enumeration Date: 09/04/2007
  • Last Update Date: 08/27/2019

Medical Identifiers

Medical identifiers for Dr Gannon Blake Stahl such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1598959413NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 10985 (Washington)Secondary
1223G0001XDentist - General Practice DE00010985 (Washington)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Gannon Blake Stahl is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Gannon Blake Stahl, DDS
14030 Ne 24th St Ste 100,
Bellevue, WA 98007-3724

Ph: (425) 641-3668
Dr Gannon Blake Stahl, DDS
14030 Ne 24th St Ste 100,
Bellevue, WA 98007-3724

Ph: (425) 641-3668

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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