DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. CHAD STOLLER, DDS, PA-C

Active

DR. CHAD STOLLER, DDS, PA-C is a Dentist healthcare provider located in FORT WAYNE, Indiana. NPI 1700871118 is currently active in the NPPES registry. Verify at CMS.

Dentist · FORT WAYNE, IN

Registration Details

NPI Number
1700871118
Provider Type
Individual
Gender
Male
NPI Issued
Sep 13, 2005 (20.882351138959 yrs)
Last Updated
Jul 22, 2020
Licenses
5601003571 (MI)
5601003571 (MI)
12013438A (IN)

Practice Information

Address
2828 E STATE BLVD
FORT WAYNE, IN, 468054761
Browse IN providers · Browse ZIP 46805
Phone
2604826689
Primary Specialty
Dentist
122300000X
Additional Specialty
Physician Assistant
Additional Specialty
Dentist

Other Dentist Providers in FORT WAYNE, IN

Name Credential NPI
DR. MICHAEL THOMAS TOM D.D.S. 1477558138
DR. DWANE RICHARD BRUICK DDS 1740255991
DR. ROLAND FRED SLYBY DDS 1497765978
DR. MICHAEL ROBERT GLASSLEY D.D.S. 1841304573
DR. PHILIP W GARDNER DDS 1497865844
DR. SHILPA SUBHASH BUSS D.D.S 1942305016
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.