| Jeffery B. Stoller D.d.s I.n.c | |
|
4 E Main St Plymouth OH 44865-1081 | |
| (419) 687-4345 | |
| Not Available |
| Full Name | Jeffery B. Stoller D.d.s I.n.c |
|---|---|
| Speciality | Dentist |
| Location | 4 E Main St, Plymouth, Ohio |
| Authorized Official Name and Position | Jeffery Stoller (DENTIST) |
| Authorized Official Contact | 4196874345 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffery B. Stoller D.d.s I.n.c 4 E Main St P.o. Box 46 Plymouth OH 44865-1081 Ph: () - | Jeffery B. Stoller D.d.s I.n.c 4 E Main St Plymouth OH 44865-1081 Ph: (419) 687-4345 |
| NPI Number | 1033329123 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033329123 | NPI | - | NPPES |
| 0559444 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 17426 (Ohio) | Primary |