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NPI 1386300135

NPI 1386300135 : JOSHUA STONER DDS LLC : GREENFIELD, IN

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General NPI Number Information
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    NPI Number           |    1386300135
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    Entity Type          |    Organization 
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    Legal Business Name  |    JOSHUA STONER DDS LLC 
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Dates
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    Enumeration Date     |    11/15/2021
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    Last Update Date     |    11/15/2021
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Provider Practice Location Address
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    Address Line         |    1200 N STATE ST 
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    City                 |    GREENFIELD
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    State                |    IN
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    Zip                  |    46140-1055
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    Country              |    US
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    Telephone            |    317-462-1252
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1682 S FOX COVE BLVD 
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    City                 |    NEW PALESTINE
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    State                |    IN
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    Zip                  |    46163-8867
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    Country              |    US
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    Telephone            |    317-710-5420
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    Fax                  |    
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Authorized Official
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    Title or Position    |    DENTIST
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    Name                 |     JOSHUA  STONER 
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    Credential           |    DDS
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    Telephone            |    317-710-5420
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QD0000X
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    Taxonomy Name        |    Dental Clinic/Center
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    License Number       |    
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    License Number State |    
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