Individual
DR. ALVIN J STOSICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, DDS
Contact information
Practice address
6268 S 900 E, STE 100, SALT LAKE CITY, UT 84121-2497
(801) 566-5117
(801) 566-5119
Mailing address
6268 S 900 E, STE 100, SALT LAKE CITY, UT 84121-2497
(801) 566-5117
(801) 566-5119
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
6434136-9925
UT
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
6395
NE
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
6434136-1205
UT
Other
Enumeration date
04/02/2007
Last updated
11/01/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us