Provider Demographics
NPI:1144211673
Name:DOSTER, STOKELY E JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:STOKELY
Middle Name:E
Last Name:DOSTER
Suffix:JR
Gender:M
Credentials:DDS
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Mailing Address - Street 1:1001 CARTER ST
Mailing Address - Street 2:SUITE G
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37402-5014
Mailing Address - Country:US
Mailing Address - Phone:423-266-1261
Mailing Address - Fax:423-267-2374
Practice Address - Street 1:1001 CARTER ST
Practice Address - Street 2:SUITE G
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37402-5014
Practice Address - Country:US
Practice Address - Phone:423-266-1261
Practice Address - Fax:423-267-2374
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-03
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
TN31061223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics