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General NPI Number Information
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NPI Number | 1063636843
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Entity Type | Organization
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Legal Business Name | JOHN H. STONE, D.D.S. AND JOHN J. SKOWORON JR., D.D.S.,LTD.
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Dates
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Enumeration Date | 04/12/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 575 LINCOLN AVE
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City | WINNETKA
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State | IL
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Zip | 60093-2307
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Country | US
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Telephone | 847-446-0970
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Fax | 847-446-0979
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Provider Business Mailing Address
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Address Line | 575 LINCOLN AVE
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City | WINNETKA
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State | IL
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Zip | 60093-2307
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Country | US
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Telephone | 847-446-0970
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Fax | 847-446-0979
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Authorized Official
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Title or Position | GENERAL DENTIST
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Name | JOHN H. STONE
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Credential | DDS
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Telephone | 847-446-0970
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 19A14991
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License Number State | IL
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