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Dr. Terrill Lee Stoller, DDS
General Practice Dentistry in South Bend, Indiana
NPI 1649337494

Terrill Lee Stoller is a General Practice Dentistry based in South Bend, IN and is specialized in General Practice. Terrill Lee Stoller practices in South Bend, IN and has the professional credentials of DDS. The NPI Number for Terrill Lee Stoller is 1649337494 and holds a License No. 12007302A (Indiana).

The current practice location address for Terrill Lee Stoller is 60420 Us 31 S, South Bend, IN and can be reached out via phone at 574-291-6020 and via fax at 574-291-6051.

Location: 60420 Us 31 S, South Bend, IN, 46614-5138
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649337494
Provider Name
Terrill Lee Stoller
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
60420 Us 31 S, South Bend, IN, 46614-5138
Phone Number
574-291-6020
Fax Number
574-291-6051
Provider Enumeration Date
01/02/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
60420 Us 31 S
City
South Bend
State
Indiana
Zip
46614-5138
Phone Number
574-291-6020
Fax Number
574-291-6051
person
Provider Business Mailing Address Details
Address
60420 Us 31 S
City
South Bend
State
Indiana
Zip
46614-5138
Phone Number
574-291-6020
Fax Number
574-291-6051
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
12007302A (Indiana)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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