Provider Demographics
NPI:1770701500
Name:ISLER, STUART LESLIE (DMD)
Entity type:Individual
Prefix:
First Name:STUART
Middle Name:LESLIE
Last Name:ISLER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:DENVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07834-2704
Mailing Address - Country:US
Mailing Address - Phone:973-625-1234
Mailing Address - Fax:973-625-4917
Practice Address - Street 1:10 BROADWAY
Practice Address - Street 2:
Practice Address - City:DENVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07834-2704
Practice Address - Country:US
Practice Address - Phone:973-625-1234
Practice Address - Fax:973-625-4917
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI00923400122300000X, 1223P0221X
NY027565-1122300000X, 1223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered122300000XDental ProvidersDentist
Not Answered1223P0221XDental ProvidersDentistPediatric Dentistry