Provider Demographics
NPI:1134285786
Name:STOEVER, CHRISTINA ELIZABETH (DDS)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:ELIZABETH
Last Name:STOEVER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5975 ROSWELL RD NE
Mailing Address - Street 2:SUITE 229
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30328-4048
Mailing Address - Country:US
Mailing Address - Phone:404-252-7373
Mailing Address - Fax:404-252-7393
Practice Address - Street 1:5975 ROSWELL RD NE
Practice Address - Street 2:SUITE 229
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30328-4048
Practice Address - Country:US
Practice Address - Phone:404-252-7373
Practice Address - Fax:404-252-7393
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-28
Last Update Date:2008-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN0130011223D0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223D0001XDental ProvidersDentistDental Public Health