Individual
DR. JOHN D STOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS,MD,PHD
Contact information
Practice address
784 KINOOLE ST, HILO, HI 96720-3829
(808) 969-1818
(808) 969-1838
Mailing address
784 KINOOLE ST, HILO, HI 96720-3829
(808) 969-1818
(808) 969-1838
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2127
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2127
HDS
HI
01
—
212701
HDS
HI
01
—
212702
HDS
HI
05
—
508872-02
—
HI
05
—
508872-03
—
HI
05
—
508872-04
—
HI
01
—
7764386
AETNA
HI
01
—
990358636
HMAA
HI
01
—
C231922
HMSA
HI
01
—
C234223
HMSA DENTAL
HI
01
—
E231927
HMSA
HI
01
—
E234228
HMSA DENTAL
HI
01
—
F231925
HMSA
HI
01
—
F234226
HMSA DENTAL
HI
Enumeration date
07/13/2006
Last updated
05/02/2011
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