Provider Demographics
NPI:1922165414
Name:STONE, DENNIS LOUIS (MD)
Entity Type:Individual
Prefix:
First Name:DENNIS
Middle Name:LOUIS
Last Name:STONE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13321 ROLLING GREEN RD
Mailing Address - Street 2:
Mailing Address - City:NORTH PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33408-2125
Mailing Address - Country:US
Mailing Address - Phone:562-243-1234
Mailing Address - Fax:562-684-4007
Practice Address - Street 1:13321 ROLLING GREEN RD
Practice Address - Street 2:
Practice Address - City:NORTH PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33408-2125
Practice Address - Country:US
Practice Address - Phone:562-243-1234
Practice Address - Fax:562-684-4007
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG25495207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine