Arthur Westphal DMD and Bruce Stolle DMD PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ARTHUR WESTPHAL DMD AND BRUCE STOLLE DMD PC

Doing business as

Hawthorn Dental - St. Charles

Practice address

2300 S Old Highway 94
Saint Charles, MO 63303-5622

Phone

(636) 928-8400

Fax

(636) 928-0480

NPI assigned

Mar 12, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Bruce Stolle, DMDNPI 1700918711

Title

Co-Owner Dentist

Phone

(636) 928-8400

Specialties & licenses 1

Addresses

Other names 1

• Hawthorn Dental - St. Charles Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bruce Kenneth Stolle, D.M.D.

  • General Practice Dentistry
  • Saint Charles, MO
  • NPI 1700918711
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003948027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 S OLD HIGHWAY 94",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633035622",
            "telephone_number": "636-928-8400",
            "fax_number": "636-928-0480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 S OLD HIGHWAY 94",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633035622",
            "telephone_number": "636-928-8400",
            "fax_number": "636-928-0480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARTHUR WESTPHAL DMD AND BRUCE STOLLE DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STOLLE",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "CO-OWNER DENTIST",
        "authorized_official_telephone_number": "636-928-8400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hawthorn Dental - St. Charles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Associated Physical Medicine PC

• General Practice Dentistry in Saint Charles, MO
• Providers in Saint Charles, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.