Individual provider · Type 1 NPI
Coury Staadecker, DDS, M.S.
Periodontics · Irvine, CA
NPI number
1932258332
Active
Practice location
405 Rockefeller, 504
Irvine, CA 92612-7188
Mailing address
1441 Avocado Ave, 405
Newport Beach, CA 92660-7721
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 48025 (CA) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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About NPI 1932258332
Coury Staadecker, DDS, M.S.'s National Provider Identifier is 1932258332, issued on Jan 9, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Irvine, CA. The record was last updated on May 17, 2012.