Individual provider · Type 1 NPI
Terrill Lee Stoller, DDS
General Practice Dentistry · South Bend, IN
NPI number
1649337494
Active
Practice location
60420 US 31 S
South Bend, IN 46614-5138
Fax (574) 291-6051
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 12007302A (IN) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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About NPI 1649337494
Terrill Lee Stoller, DDS's National Provider Identifier is 1649337494, issued on Jan 2, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in South Bend, IN. The record was last updated on Jul 8, 2007.