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NPI Code Detail

MEDICARE: DONALD WILLIAM STONEBURNER D.D.S.

MEDICARE:   DONALD WILLIAM STONEBURNER  D.D.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry25843CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
125843OTHERCADENTAL LICENSE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1336299635
Entity Type Code : Individual
Provider Name (Legal Business Name) : DONALD WILLIAM STONEBURNER D.D.S.
Provider Business Mailing Address
First Line : 7245 ROBIN HOOD WAY
Second Line :
City : GRANITE BAY
State : CA
Zip : 95746-6538
Country : US
Telephone Number : 916-791-7501
Fax Number :
Provider Business Practice Location Address
First Line : 4140 MOTHER LODE DR
Second Line : SUITE 112
City : SHINGLE SPRINGS
State : CA
Zip : 95682-8038
Country : US
Telephone Number : 530-672-8059
Fax Number : 530-672-2111
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2007
Last Update Date : 07/09/2007

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Directions to “ DONALD WILLIAM STONEBURNER D.D.S.” Practice Location

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