DR. Chad Stoller, DDS, PA-C
NPI #1700871118 in Fort Wayne, Indiana
Provider Information
- NPI Number
- 1700871118
- Entity Type
- Individual
- Name
- DR. Chad Stoller, DDS, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- DDS, PA-C
- Enumeration Date
- Sep 13, 2005
- Last Updated
- Jul 22, 2020
Practice Location
- Address
- 2828 E STATE BLVD
- City
- Fort Wayne
- State
- Indiana
- ZIP Code
- 46805-4761
- Phone
- (260) 482-6689
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
| Physician Assistant |
| Dentist |
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