| Mark F Stoner Llc | |
|
9830 Auburn Rd Suite 102 Fort Wayne IN 46825 | |
| (260) 484-4181 | |
| (260) 484-4182 |
| Full Name | Mark F Stoner Llc |
|---|---|
| Speciality | Dentist |
| Location | 9830 Auburn Rd Suite 102, Fort Wayne, Indiana |
| Authorized Official Name and Position | Mark F Stoner (OWNER/DENTIST) |
| Authorized Official Contact | 2604844181 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark F Stoner Llc 9830 Auburn Rd Suite 102 Fort Wayne IN 46825 Ph: (260) 484-4181 | Mark F Stoner Llc 9830 Auburn Rd Suite 102 Fort Wayne IN 46825 Ph: (260) 484-4181 |
| NPI Number | 1326582925 |
|---|---|
| Provider Enumeration Date | 12/15/2016 |
| Last Update Date | 12/15/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326582925 | NPI | - | NPPES |
| 200196720A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 12010013A (Indiana) | Primary |
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