# JEFFREY A. STOLARZ, DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649321878
- **Authorized official:** JEFFREY ALAN STOLARZ DDS (PRESIDENT)
- **Authorized official phone:** (216) 956-7060

## Contact information

- **Practice address:** 1032 119TH ST, SUITE A, WHITING, IN 46394-1514
- **Practice address phone:** (219) 659-7060
- **Practice address fax:** (219) 659-2118
- **Mailing address:** 1032 119TH ST STE 1, WHITING, IN 46394-1514
- **Mailing address phone:** (219) 659-7060
- **Mailing address fax:** (219) 659-2118

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 12010194A | IN | Yes |

## Other

- **Enumeration date:** 01/15/2007
- **Last updated:** 09/22/2014