Provider Demographics
NPI:1619167525
Name:STONER, TODD CHRISTOPHER (DMD)
Entity Type:Individual
Prefix:DR
First Name:TODD
Middle Name:CHRISTOPHER
Last Name:STONER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 REDMAYNE RD
Mailing Address - Street 2:
Mailing Address - City:GARDENDALE
Mailing Address - State:AL
Mailing Address - Zip Code:35071-2405
Mailing Address - Country:US
Mailing Address - Phone:205-631-9806
Mailing Address - Fax:205-631-9865
Practice Address - Street 1:210 REDMAYNE RD
Practice Address - Street 2:
Practice Address - City:GARDENDALE
Practice Address - State:AL
Practice Address - Zip Code:35071-2405
Practice Address - Country:US
Practice Address - Phone:205-631-9806
Practice Address - Fax:205-631-9865
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-26
Last Update Date:2009-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL54851223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice