Provider Demographics
NPI:1861442733
Name:STONER, JASON C (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:JASON
Middle Name:C
Last Name:STONER
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5152 BLAZER PARKWAY
Mailing Address - Street 2:STE 100
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017
Mailing Address - Country:US
Mailing Address - Phone:614-889-8222
Mailing Address - Fax:614-889-6067
Practice Address - Street 1:5152 BLAZER PARKWAY
Practice Address - Street 2:STE 100
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43017
Practice Address - Country:US
Practice Address - Phone:614-889-8222
Practice Address - Fax:614-889-6067
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-11
Last Update Date:2015-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH300209511223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics