Stover, Douglas Lee

Stover, Douglas Lee is an individual health care provider with primary practice located at 1367 E Garrison Blvd , Gastonia NC 28054-5144. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Stover, Douglas Lee can be contacted via phone (704) 864-8393.

Contact Information

Primary practice address
1367 E Garrison Blvd Gastonia NC 28054-5144
Phone: (704) 864-8393
Fax: (704) 864-7312
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 4957 North Carolina

Profile Details

NPI number 1871531368
LBN Legal business name Stover, Douglas Lee
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871531368 NPPES
North Carolina MEDICAID 8998147
North Carolina Other 02929
North Carolina Other 561528161016
North Carolina Other 553492

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