Provider Demographics
NPI:1184812836
Name:STOIBER, DON ANTHONY (DDS)
Entity type:Individual
Prefix:DR
First Name:DON
Middle Name:ANTHONY
Last Name:STOIBER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10303 N PORT WASHINGTON RD
Mailing Address - Street 2:SUITE #103A
Mailing Address - City:MEQUON
Mailing Address - State:WI
Mailing Address - Zip Code:53092-5760
Mailing Address - Country:US
Mailing Address - Phone:262-240-0405
Mailing Address - Fax:262-240-0434
Practice Address - Street 1:10303 N PORT WASHINGTON RD
Practice Address - Street 2:SUITE #103A
Practice Address - City:MEQUON
Practice Address - State:WI
Practice Address - Zip Code:53092-5760
Practice Address - Country:US
Practice Address - Phone:262-240-0405
Practice Address - Fax:262-240-0434
Is Sole Proprietor?:No
Enumeration Date:2007-10-09
Last Update Date:2007-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3938-015122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist