Provider Demographics
NPI:1164445987
Name:STONE GONZALEZ, JANET (DDS)
Entity Type:Individual
Prefix:DR
First Name:JANET
Middle Name:
Last Name:STONE GONZALEZ
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18564 VISTA DEL SOL
Mailing Address - Street 2:STE 240
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75287-4019
Mailing Address - Country:US
Mailing Address - Phone:972-742-5798
Mailing Address - Fax:
Practice Address - Street 1:546 E SANDY LAKE RD
Practice Address - Street 2:STE 240
Practice Address - City:COPPELL
Practice Address - State:TX
Practice Address - Zip Code:75019-5786
Practice Address - Country:US
Practice Address - Phone:972-304-0489
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2016-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX167101223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice