Provider Demographics
NPI:1275254468
Name:STOHL & PEARCE MILLS RIVER DENTAL PARTNERSHIP
Entity Type:Organization
Organization Name:STOHL & PEARCE MILLS RIVER DENTAL PARTNERSHIP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:NATHANIEL
Authorized Official - Last Name:PEARCE
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:828-891-7999
Mailing Address - Street 1:3340 BOYLSTON HIGHWAY
Mailing Address - Street 2:UNIT 30
Mailing Address - City:MILLS RIVER
Mailing Address - State:NC
Mailing Address - Zip Code:28759
Mailing Address - Country:US
Mailing Address - Phone:828-891-7999
Mailing Address - Fax:828-891-6002
Practice Address - Street 1:3340 BOYLSTON HIGHWAY
Practice Address - Street 2:UNIT 30
Practice Address - City:MILLS RIVER
Practice Address - State:NC
Practice Address - Zip Code:28759
Practice Address - Country:US
Practice Address - Phone:828-891-7999
Practice Address - Fax:828-891-6002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-07
Last Update Date:2022-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty