Individual
DR. JERRY L CHOSTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6301 STADIUM DR, CLEMMONS, NC 27012-8766
(336) 766-9111
(336) 766-3941
Mailing address
2 SHEFFIELD PL, WINSTON SALEM, NC 27104-2046
(336) 723-0073
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3659
NC
Other
Enumeration date
11/06/2006
Last updated
04/06/2009
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