MEDICARE: ANNE E STOLCIS DDS

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
1	1223G0001X	General Practice Dentistry	D4921	AZ

General Provider Information

NPI Number	:	1972577179
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNE E STOLCIS DDS

Provider Business Mailing Address
First Line	:	1640 N COUNTRY CLUB RD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85716-3119
Country	:	US
Telephone Number	:	520-323-9327
Fax Number	:

Provider Business Practice Location Address
First Line	:	1640 N COUNTRY CLUB RD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85716-3119
Country	:	US
Telephone Number	:	520-323-9327
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/14/2006
Last Update Date	:	08/10/2015

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