Provider Demographics
NPI:1477649671
Name:STOCKMANN, FRANZ GEORGE (DDS PC)
Entity Type:Individual
Prefix:DR
First Name:FRANZ
Middle Name:GEORGE
Last Name:STOCKMANN
Suffix:
Gender:M
Credentials:DDS PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1425 N MCLEAN BLVD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:ELGIN
Mailing Address - State:IL
Mailing Address - Zip Code:60123
Mailing Address - Country:US
Mailing Address - Phone:847-695-6833
Mailing Address - Fax:847-695-0650
Practice Address - Street 1:1425 N MCLEAN BLVD
Practice Address - Street 2:SUITE 300
Practice Address - City:ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60123
Practice Address - Country:US
Practice Address - Phone:847-695-6833
Practice Address - Fax:847-695-0650
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist