Provider Demographics
NPI:1447794136
Name:STOIAN DENTAL ASSOCIATES PLLC
Entity Type:Organization
Organization Name:STOIAN DENTAL ASSOCIATES PLLC
Other - Org Name:FAMILY DENTAL GROUP
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MIHAELA
Authorized Official - Middle Name:
Authorized Official - Last Name:STOIAN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:508-366-7450
Mailing Address - Street 1:276 TURNPIKE RD STE 226
Mailing Address - Street 2:
Mailing Address - City:WESTBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01581-2845
Mailing Address - Country:US
Mailing Address - Phone:508-366-7450
Mailing Address - Fax:508-366-7475
Practice Address - Street 1:276 TURNPIKE RD STE 226
Practice Address - Street 2:
Practice Address - City:WESTBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01581-2845
Practice Address - Country:US
Practice Address - Phone:508-366-7450
Practice Address - Fax:508-366-7475
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-14
Last Update Date:2016-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA18966122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty