Provider Demographics
NPI:1356308092
Name:STOKER, PATRICIA S (DDS)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:S
Last Name:STOKER
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 1:6345 WOODSIDE CT
Mailing Address - Street 2:SUITE 103
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21046-3227
Mailing Address - Country:US
Mailing Address - Phone:410-312-5660
Mailing Address - Fax:410-312-5662
Practice Address - Street 1:10633 GLASS TUMBLER PATH
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044-4146
Practice Address - Country:US
Practice Address - Phone:410-531-0767
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-27
Last Update Date:2012-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD90461223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice