1134285786 NPI number — DR. CHRISTINA ELIZABETH STOEVER DDS

Table of content: DR. CHRISTINA ELIZABETH STOEVER DDS (NPI 1134285786)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1134285786 NPI number — DR. CHRISTINA ELIZABETH STOEVER DDS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
STOEVER
Provider First Name:
CHRISTINA
Provider Middle Name:
ELIZABETH
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DDS
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1134285786
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/12/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5975 ROSWELL RD NE
Provider Second Line Business Mailing Address:
SUITE 229
Provider Business Mailing Address City Name:
ATLANTA
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
30328-4048
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
404-252-7373
Provider Business Mailing Address Fax Number:
404-252-7393

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5975 ROSWELL RD NE
Provider Second Line Business Practice Location Address:
SUITE 229
Provider Business Practice Location Address City Name:
ATLANTA
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30328-4048
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
404-252-7373
Provider Business Practice Location Address Fax Number:
404-252-7393
Provider Enumeration Date:
12/28/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1223D0001X , with the licence number:  DN013001 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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