Provider Demographics
NPI:1225418262
Name:STONE, NICOLETA ENE (DDS)
Entity Type:Individual
Prefix:
First Name:NICOLETA
Middle Name:ENE
Last Name:STONE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:NICOLETA
Other - Middle Name:
Other - Last Name:ENE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:112 THORNBERRY LN
Mailing Address - Street 2:
Mailing Address - City:RENSSELAER
Mailing Address - State:NY
Mailing Address - Zip Code:12144-8448
Mailing Address - Country:US
Mailing Address - Phone:972-822-1125
Mailing Address - Fax:
Practice Address - Street 1:1570 UNION ST
Practice Address - Street 2:
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12309-6120
Practice Address - Country:US
Practice Address - Phone:518-374-9040
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-04
Last Update Date:2016-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY058714122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist