Jeffery Stoller is a Dentist in Plymouth, Ohio. Jeffery Stoller practices all healthcare services and medical treatments related to Dentist. The NPI Number for Jeffery Stoller is 1811106420. The last update date is 2007-07-09.
Jeffery Stoller's current location address is 4 E Main St, Plymouth, Ohio. You can contact this provider via phone number 4196874345. The mailing address for Jeffery Stoller is 4 E Main St, Plymouth, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffery Stoller |
|---|---|
| Address | 4 E Main St, Plymouth, Ohio |
| Phone Number | 4196874345 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1811106420 |
|---|---|
| Provider Enumeration Date | 2007-05-21 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 4 E Main St |
|---|---|
| City | Plymouth |
| State | Ohio (OH) |
| Post Code | 448651081 |
| Phone Number | 4196874345 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 17426 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 559444 | OH | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jeffery Stoller by the Centers for Medicare & Medicaid Services?
The Jeffery Stoller has been issued the NPI (National Provider Identifier) 1811106420 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Jeffery Stoller's facilities are situated?
The facilities of Jeffery Stoller are physically located at the following address: 4 E Main St, Plymouth, OH, 448651081.
What is Jeffery Stoller's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jeffery Stoller's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1811106420 to Jeffery Stoller?
The Centers for Medicare & Medicaid Services originally issued the 1811106420 to Jeffery Stoller on 2007-05-21.
As of what date were the details related to Jeffery Stoller most recently updated or revised?
The information pertaining to Jeffery Stoller, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-09.