Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Gannon Blake Stahl, DDS

Individual provider Dentist · NPI 1598959413

Dr. Gannon Blake Stahl, DDS is a Dentist in Bellevue, Washington. Licensed in Washington. Registered with an NPI since 2007.

Licensed in
WA
In the registry since
2007
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

14030 NE 24th St Ste 100
Bellevue, WA 98007-3724
Phone: (425) 641-3668
Fax: (425) 747-7611
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DE00010985 (WA)
Dentist Taxonomy 122300000X · Licence 10985 (WA)

Record details

NPI number1598959413
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedSeptember 4, 2007
Last updated in NPPESAugust 27, 2019

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