Jeffery Stoller, is a
Dentist based in Plymouth, Ohio. Jeffery Stoller is licensed to practice in Ohio (license number 17426) and his current practice location is
4 E Main St, Plymouth, Ohio. He can be reached at his office (for appointments etc.) via phone at
(419) 687-4345.
NPI number for Jeffery Stoller is 1811106420 and his current mailing address is 4 E Main St, P.o. Box 46, Plymouth, Ohio. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1811106420.
Healthcare Provider's Profile
| Full Name | Jeffery Stoller |
|---|
| Gender | Male |
|---|
| Speciality | Dentist |
|---|
| Location | 4 E Main St, Plymouth, Ohio |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1811106420
- Provider Enumeration Date: 05/21/2007
- Last Update Date: 07/09/2007
Medical Identifiers
Medical identifiers for Jeffery Stoller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1811106420 | NPI | - | NPPES |
| 0559444 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 122300000X | Dentist | 17426 (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jeffery Stoller is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Jeffery Stoller, 4 E Main St, P.o. Box 46, Plymouth, OH 44865-1081 Ph: (419) 687-4345 | Jeffery Stoller, 4 E Main St, Plymouth, OH 44865-1081 Ph: (419) 687-4345 |
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