Jeffrey Brian Stoller in Pekin - Dentist

Jeffrey Brian Stoller - NPI 1780880567

Jeffrey Brian Stoller is a Dentist in Pekin, Illinois. Jeffrey Brian Stoller practices all healthcare services and medical treatments related to Dentist. The NPI Number for Jeffrey Brian Stoller is 1780880567. The last update date is 2007-07-08.

Jeffrey Brian Stoller's current location address is 1608 Broadway St, Pekin, Illinois. You can contact this provider via phone number 3093464446 and fax number 3093532267. The mailing address for Jeffrey Brian Stoller is 1608 Broadway St, Pekin, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Jeffrey Brian Stoller
Address 1608 Broadway St, Pekin, Illinois
Phone Number 3093464446
Fax Number 3093532267
Sole Proprietor N
Credentials D.D.S.

NPI Number Detail

NPI Number 1780880567
Provider Enumeration Date 2007-06-26
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1608 Broadway St
City Pekin
State Illinois (IL)
Post Code 615543806
Phone Number 3093464446
Fax Number 3093532267

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

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FAQs about Jeffrey Brian Stoller

What is the unique identification code assigned to Jeffrey Brian Stoller by the Centers for Medicare & Medicaid Services?

The Jeffrey Brian Stoller has been issued the NPI (National Provider Identifier) 1780880567. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Jeffrey Brian Stoller is geographically located?

The Jeffrey Brian Stoller is physically situated at the following location: 1608 Broadway St, Pekin, IL, 615543806.

What is Jeffrey Brian Stoller's specialized field of practice, and what is the corresponding taxonomy classification code?

The Jeffrey Brian Stoller's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.

On what date was the 1780880567 assigned to Jeffrey Brian Stoller?

The Jeffrey Brian Stoller was issued its 1780880567 on 2007-06-26, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Jeffrey Brian Stoller, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Jeffrey Brian Stoller, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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