Provider Demographics
NPI:1366788937
Name:STONER, DONALD A (DMD)
Entity type:Individual
Prefix:DR
First Name:DONALD
Middle Name:A
Last Name:STONER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 CRYSTAL DR
Mailing Address - Street 2:
Mailing Address - City:OAKMONT
Mailing Address - State:PA
Mailing Address - Zip Code:15139-1015
Mailing Address - Country:US
Mailing Address - Phone:412-828-2624
Mailing Address - Fax:412-828-2624
Practice Address - Street 1:154 ALLEGHENY RIVER BLVD
Practice Address - Street 2:
Practice Address - City:OAKMONT
Practice Address - State:PA
Practice Address - Zip Code:15139-1801
Practice Address - Country:US
Practice Address - Phone:412-828-7750
Practice Address - Fax:412-828-3678
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-29
Last Update Date:2012-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS016854L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1376602615OtherNPI GENERAL DENTISTRY GROUP PROFESSIONAL CORPORATION