JEFFERY B. STOLLER D.D.S I.N.C (NPI# 1033329123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033329123 |
| Entity Type | Organization |
| Organization Name | JEFFERY B. STOLLER D.D.S I.N.C |
| Practice Address |
4 E Main St Plymouth OH 44865-1081 |
| Mailing Address |
4 E Main St P.o. Box 46 Plymouth OH 44865-1081 |
| Practice Telephone | 4196874345 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JEFFERY STOLLER (DENTIST) |
| Authorized Official Telephone | 4196874345 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 17426 | OH | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0559444 | 05 |
| Street Address |
4 E MAIN ST |
| City | PLYMOUTH |
| State | OH |
| Zip Code | 44865-1081 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164632253 | Emily Fries | Dental Hygienist | 4 E Main St, Plymouth, OH 44865-1081 | 2007-05-23 |
| 1811106420 | Jeffery Stoller | Dentist | 4 E Main St, Plymouth, OH 44865-1081 | 2007-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093236010 | Nicole Lerae Varkonda | Social Worker | 4181 Townline Road 111, Plymouth, OH 44865 | 2017-06-29 |
| 1437443942 | Kathy Ann Goble | Licensed Practical Nurse | 8247 State Route 61 Lot #22, Plymouth, OH 44865 | 2011-06-01 |
| 1770587693 | Evillo M Domingo | Family Medicine | 25 Spring St, Plymouth, OH 44865 | 2005-06-09 |
| 1114153020 | Rachel Ann Mcclary | Licensed Practical Nurse | 101 Plymouth St, Plymouth, OH 44865-1009 | 2009-06-05 |
| 1306080247 | Jamie L Montgomery | Licensed Practical Nurse | 159 Railroad St, Plymouth, OH 44865-1050 | 2009-04-22 |
| 1962654731 | James Edgar Lundeen Sr. | Physical Medicine & Rehabilitation | 26 Sandusky St, Plymouth, OH 44865-1113 | 2008-10-10 |
| 1346485380 | Plymouth-shiloh Local Schools | Local Education Agency (LEA) | 365 Sandusky St, Plymouth, OH 44865-1135 | 2008-12-04 |
| 1134434772 | Tina Faye Gibson | Licensed Practical Nurse | 63 Park Ave, Plymouth, OH 44865-1148 | 2010-08-06 |
| 1144390220 | Willard Foods Inc | Pharmacy | 262 Sandusky St, Plymouth, OH 44865-1151 | 2006-11-08 |
| 1477099208 | Kristin Seaman | Pharmacist | 262 Sandusky St, Plymouth, OH 44865-1151 | 2017-01-18 |
| Find all providers in zip 44865 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| 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: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760091268 | Haggerty Dental | Dentist | 16000 N Haggerty Rd, Plymouth, MI 48170-4884 | 2020-07-30 |
| 1902460439 | Jose Joaquin Giraud | Dentist | 130 Carr Rd, Plymouth, WI 53073-9500 | 2019-04-30 |
| 1215477088 | Thomas M. Pedavoli Dds Inc. | Dentist | 850 Columbus Dr, Plymouth, IN 46563-1877 | 2017-02-27 |
| 1356887186 | Katherine Marlow Bell | Dentist | 2805 Campus Dr Ste 245, Plymouth, MN 55441 | 2017-01-18 |
| 1356792097 | Uvoh Erhiegueke Onoriobe | Dentist | 9301 Mayflower Ct, Plymouth, MI 48170-3923 | 2016-06-23 |
| 1003263989 | Mohammed Almumaiz | Dentist | 45600 Joy Rd, Plymouth, MI 48170-3660 | 2016-05-19 |
| 1528415742 | Revanth Chada | Dentist | 4665 Urbandale Ct N, Plymouth, MN 55446-1946 | 2016-05-17 |
| 1336595941 | Michelle Peters | Dentist | 9416 S Main St Ste 211, Plymouth, MI 48170-4183 | 2016-05-12 |
| 1154798262 | Mark Jurek | Dentist | 556 N Oak Dr, Plymouth, IN 46563-1664 | 2015-08-24 |
| 1336516517 | Dental Center of Plymouth LLC | Dentist | 1913 N Michigan St Ste E, Plymouth, IN 46563-1015 | 2015-08-24 |
| Find all providers in PLYMOUTH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.