William Christian Storoe IV, D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DN 13628 Issued in FL

Practice address

3500 SW 2ND Ave
Ste 2
Gainesville, FL 32607-2864

Phone

(352) 371-4111

Fax

(352) 371-1139

NPI assigned

Jun 14, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Dec 5, 2013 through Dec 5, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• William C Storoe IV DDS PA

  • Oral and Maxillofacial Surgery Clinic/Center
  • Gainesville, FL
  • NPI 1023280641
  NPD (past) Authorized official

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1013912377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 NW 150TH DR",
            "city": "NEWBERRY",
            "state": "FL",
            "postal_code": "326692961",
            "telephone_number": "352-332-9709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 SW 2ND AVE",
            "address_2": "STE 2",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326072864",
            "telephone_number": "352-371-4111",
            "fax_number": "352-371-1139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOROE",
        "first_name": "WILLIAM",
        "middle_name": "CHRISTIAN",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-14",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN 13628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gloria Elena Stoppello, D.D.S.
• Helen Cecile Storey, L.M.T.
• Troy Farr Storey, MD
• John J Stork, MD
• Jamie Stormer
• Julie Stortz, M.D.
• Bailey Joshua Stotler, OD
• Cameron Stout
• Donna A Stout, RRT
• Julie Anna Stout, RMHCI

• Oral and Maxillofacial Surgery (Dentist) in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.