Kenneth Lee Stoler, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

030286 Issued in NY

Practice address

132 Terryville Rd
Port Jefferson Station, NY 11776-1372

Phone

(631) 473-6400

Fax

(631) 473-7297

NPI assigned

Jul 22, 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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209427200000",
    "number": "1679573455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 TERRYVILLE RD",
            "address_2": "P.O. BOX 222",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117761372",
            "telephone_number": "631-473-6400",
            "fax_number": "631-473-7297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 TERRYVILLE RD",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117761372",
            "telephone_number": "631-473-6400",
            "fax_number": "631-473-7297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOLER",
        "first_name": "KENNETH",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-22",
        "last_updated": "2008-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "030286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sepideh Steinhandler
• Stephen R. Hiller, MD, PC
• Brittany Stern, NP
• Scheri J Stewart, LMSW
• Allison Marie Stockton, M.S. CCC-SLP
• Caitlin Mary Stroh, PHARMD
• Cassie Nicole Struhs
• Luis Suarez, MHC
• Supriya Subedi
• Suffolk Brain and Nerve, PLLC

• Oral and Maxillofacial Surgery (Dentist) in Port Jefferson Station, NY
• Providers in Port Jefferson Station, NY by specialty
• Oral and Maxillofacial Surgery (Dentist) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; 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.