Provider Demographics
NPI:1326200908
Name:STOJ, NORMAN EDWARD (DDS,MS)
Entity Type:Individual
Prefix:DR
First Name:NORMAN
Middle Name:EDWARD
Last Name:STOJ
Suffix:
Gender:M
Credentials:DDS,MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3796 BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:CHEEKTOWAGA
Mailing Address - State:NY
Mailing Address - Zip Code:14227-1123
Mailing Address - Country:US
Mailing Address - Phone:716-685-4590
Mailing Address - Fax:716-685-0210
Practice Address - Street 1:3796 BROADWAY ST
Practice Address - Street 2:
Practice Address - City:CHEEKTOWAGA
Practice Address - State:NY
Practice Address - Zip Code:14227-1123
Practice Address - Country:US
Practice Address - Phone:716-685-4590
Practice Address - Fax:716-685-0210
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-25
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0409681223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice