Provider Demographics
NPI:1790395515
Name:JOSEPH STOLL, DDS PC
Entity Type:Organization
Organization Name:JOSEPH STOLL, DDS PC
Other - Org Name:STOLL FAMILY DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:STOLL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:303-841-7045
Mailing Address - Street 1:10345 PARKGLENN WAY STE 200
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80138-3884
Mailing Address - Country:US
Mailing Address - Phone:303-841-7045
Mailing Address - Fax:303-841-7829
Practice Address - Street 1:10345 PARKGLENN WAY STE 200
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80138-3884
Practice Address - Country:US
Practice Address - Phone:303-841-7045
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:STOLL FAMILY DENTAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-08-06
Last Update Date:2021-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
No261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDentalGroup - Multi-Specialty