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
Mailing address14030 Ne 24th St Ste 100, Bellevue, WA 98007-3724

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