Provider Demographics
NPI:1477100105
Name:STONE, DAVID COLIN (DDS)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:COLIN
Last Name:STONE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4205 N POINT PKWY STE E
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30022-8808
Mailing Address - Country:US
Mailing Address - Phone:770-475-4449
Mailing Address - Fax:770-569-0945
Practice Address - Street 1:4205 N POINT PKWY STE E
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30022-8808
Practice Address - Country:US
Practice Address - Phone:770-475-4449
Practice Address - Fax:770-569-0945
Is Sole Proprietor?:No
Enumeration Date:2019-08-19
Last Update Date:2019-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0158481223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice