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Organization
STOVER & STOVER DDS PA
Active
Organization
STOVER & STOVER DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS LEE STOVER DDS (PRESIDENT)
(704) 864-8393
Entity
Organization
Contact information
Practice address
1367 E GARRISON BLVD, STE A, GASTONIA, NC 28054-5144
(704) 864-8393
(704) 864-7312
Mailing address
1367 E GARRISON BLVD, STE A, GASTONIA, NC 28054-5144
(704) 864-8393
(704) 864-7312
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1059
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02929
BCBS OF NC
NC
05
—
7302929
—
NC
Enumeration date
10/04/2006
Last updated
08/22/2020
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