Todd A Stahnke, DDS is a
Dentist - General Practice based in Black Earth, Wisconsin. Todd A Stahnke is licensed to practice in Wisconsin (license number 4759-015) and his current practice location is
1209 Mills St, Black Earth, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(608) 767-3604.
NPI number for Todd A Stahnke is 1124007844 and his current mailing address is 1250 Prairie St, Prairie Du Sac, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1124007844.
Healthcare Provider's Profile
| Full Name | Todd A Stahnke |
|---|
| Gender | Male |
|---|
| Speciality | Dentist - General Practice |
|---|
| Location | 1209 Mills St, Black Earth, Wisconsin |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1124007844
- Provider Enumeration Date: 01/11/2006
- Last Update Date: 07/13/2026
Medical Identifiers
Medical identifiers for Todd A Stahnke such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1124007844 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1223G0001X | Dentist - General Practice | 4759-015 (Wisconsin) | 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. Todd A Stahnke 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 Address | Practice Location Address |
Todd A Stahnke, DDS 1250 Prairie St, Prairie Du Sac, WI 53578-2041 Ph: (608) 643-8505 | Todd A Stahnke, DDS 1209 Mills St, Black Earth, WI 53515-9420 Ph: (608) 767-3604 |
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