Individual
DR. DOUGLAS LEE STOVER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1367 E GARRISON BLVD, GASTONIA, NC 28054-5144
(704) 864-8393
(704) 864-7312
Mailing address
1367 E GARRISON BLVD, GASTONIA, NC 28054-5144
(704) 864-8393
(704) 864-7312
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4957
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02929
BCBS NUMBER
NC
01
—
553492
UNITED CONCORDIA NUMBER
—
01
—
561528161016
BCBS OF WISCONSIN
WI
05
—
8998147
—
NC
Enumeration date
06/04/2006
Last updated
07/08/2007
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