Individual
DR. JEFFREY JACOB STONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
9C DR OSMAN BABSON RD, GLOUCESTER, MA 01930-1812
(978) 283-0733
Mailing address
9C DR OSMAN BABSON RD, GLOUCESTER, MA 01930-1812
(978) 283-0733
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16825
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0270032
—
MA
01
—
082585ST
BLUE CROSS
MA
Enumeration date
11/13/2006
Last updated
07/08/2007
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