| Stoller Dental Clinic Pc | |
|
525 W Parr Rd Berne IN 46711-1131 | |
| (260) 589-2110 | |
| (260) 589-8512 |
| Full Name | Stoller Dental Clinic Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 525 W Parr Rd, Berne, Indiana |
| Authorized Official Name and Position | Allen R Stoller (PRESIDENT) |
| Authorized Official Contact | 2605892110 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stoller Dental Clinic Pc 525 W Parr Rd Berne IN 46711-1131 Ph: (260) 589-2110 | Stoller Dental Clinic Pc 525 W Parr Rd Berne IN 46711-1131 Ph: (260) 589-2110 |
| NPI Number | 1841492238 |
|---|---|
| Provider Enumeration Date | 06/05/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841492238 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12007524A (Indiana) | Primary |
| 261QD0000X | Clinic/center - Dental | 54001449A (Indiana) | Primary |
Berne Dental Clinic Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 525 W Parr Rd, Berne, IN 46711 Phone: 260-589-2110 Fax: 260-589-8512 | |
Fisher Dental, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 220 Forest Park Dr, Berne, IN 46711 Phone: 260-589-2309 Fax: 260-589-3267 |