Stoller, Terrill Lee

Stoller, Terrill Lee is an sole proprietor health care provider with primary practice located at 60420 Us 31 S , South Bend IN 46614-5138. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Stoller, Terrill Lee can be contacted via phone (574) 291-6020.

Contact Information

Primary practice address
60420 Us 31 S South Bend IN 46614-5138
Fax: (574) 291-6051
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 12007302A Indiana

Profile Details

NPI number 1649337494
LBN Legal business name Stoller, Terrill Lee
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 2nd, 2007
Last updated Jul 8th, 2007 - about 18 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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