NPI 1013927482

Stanley Merrill Stoller, DDS

Practitioner Periodontics Springfield, VA

Practice location

Address: 6120 Brandon Ave #317, Springfield, VA 22150
Phone: (703) 451-6800
Fax: (703) 451-0353

Registered specialties

Periodontics Primary

Dental Providers Taxonomy 1223P0300X Licence 0401003293 (VA)

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Registry record

NPI: 1013927482
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Aug 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.