Provider Demographics
NPI:1255399168
Name:STONE, DONNA M (DDS)
Entity type:Individual
Prefix:DR
First Name:DONNA
Middle Name:M
Last Name:STONE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3061 CREEK FALLS WAY
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30097-6240
Mailing Address - Country:US
Mailing Address - Phone:678-787-6746
Mailing Address - Fax:678-584-9755
Practice Address - Street 1:3170 PEACHTREE INDUSTRIAL BLVD
Practice Address - Street 2:SUITE 150
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30097-7918
Practice Address - Country:US
Practice Address - Phone:678-584-5589
Practice Address - Fax:678-584-9755
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0113631223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice