Stockstill, John W

Stockstill, John W is an individual health care provider with primary practice located at 1430 John Wesley Gilbert Drive Gc-1024, Augusta GA 30912-1001. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Stockstill, John W can be contacted via phone (706) 721-9633.

Contact Information

Primary practice address
1430 John Wesley Gilbert Drive Gc-1024 Augusta GA 30912-1001
Phone: (706) 721-9633
Fax: (706) 723-0266
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X DNF000305 Georgia

Profile Details

NPI number 1306886056
LBN Legal business name Stockstill, John W
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Jan 26th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306886056 NPPES
Georgia MEDICAID 000942015A
Georgia MEDICAID ZG0305

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