Stonecreek Acquistion, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

STONECREEK ACQUISTION, LLC

Doing business as

Stonecreek Dental-Montgomery 2

Practice address

1901 Mulberry St
Montgomery, AL 36106-1626

Phone

(334) 265-9202

NPI assigned

Apr 4, 2007

Last updated

Jun 5, 2017By 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. Jon C Mann, DMD

Title

Doctor

Phone

(334) 265-9202

Specialties & licenses 1

Addresses

Other names 1

• Stonecreek Dental-Montgomery 2 Doing business as

Tax ID family

Stonecreek Acquistion LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• The Dental Office Inc

  • General Practice Dentistry
  • Moody, AL
  • NPI 1548372030
  NPD tax ID

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496620800000",
    "number": "1144342841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 MULBERRY ST",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361061626",
            "telephone_number": "334-265-9202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 MULBERRY ST",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361061626",
            "telephone_number": "334-265-9202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONECREEK ACQUISTION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2017-06-05",
        "status": "A",
        "authorized_official_last_name": "MANN",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "334-265-9202",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stonecreek Dental-Montgomery 2",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Stonecreek Dental-Montgomery 2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Lauren Stone, OD
• Leslie Stone
• Lori J Stone, ABOC
• Octavia Stone
• Stonecreek Acquisitions, LLC (Stonecreek Dental Care)
• Stonecreek Dental of Alabama
• Stonecreek Dental of Alabama (Stonecreek Dental Care)
• Jessica Marie Stonehocker
• Stonestar Health LLC
• Stoot Speech Language Services

• General Practice Dentistry in Montgomery, AL
• Providers in Montgomery, AL by specialty
• General Practice Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2017; 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.