Dr. Robert Edward Stover
Prosthodontist
128 Lilly Rd Ne Ste 125
Olympia
, Washington 98506-7400
Dr. Robert Edward Stover
Prosthodontist
128 Lilly Rd Ne Ste 125
Olympia
, Washington 98506-7400
(360) 456-0213
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About
Features
Specialties
- Prosthodontist
Languages spoken
- English
Location
First Address
- Dr. Robert Edward Stover
- 11407 136th Ave E
- Puyallup, WA
- Zip : 98374-2427
- Fax : (360) 456-0213
- Phone : (360) 456-1200
Second Address
- Dr. Robert Edward Stover
- 128 Lilly Rd Ne Ste 125
- Olympia, WA
- Zip : 98506-7400
- Fax : (360) 456-0213
- Phone : (360) 456-1200
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 1223P0700X | Prosthodontist | 6468 | NE |
| Y | 1223P0700X | Prosthodontist | DE00010932 | WA |
National Provider Identifier
| NPI | 1255324893 |
|---|---|
| Provider Name | Dr. Robert Edward Stover |
| First Address | Puyallup, WA 98374-2427 |
| Second Address | Olympia, WA 98506-7400 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/08/2005 |
| Last Update Date | 14/09/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.