Organization Active NPI

Stoller Dental Clinic PC

  • Dental Clinic/Center
  • Berne, IN
National Provider Identifier
1841492238
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
54001449A Issued in IN
Legal business name
STOLLER DENTAL CLINIC PC
Practice address
525 W Parr Rd
Berne, IN 46711-1131
Phone
(260) 589-2110
Fax
(260) 589-8512
NPI assigned
Jun 5, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Allen R Stoller, DDSNPI 1124215504
Title
President
Phone
(260) 589-2110

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 54001449A IN Primary
General Practice Dentistry 1223G0001X 12007524A IN

Addresses

Primary practice location

525 W Parr Rd
Berne, IN 46711-1131

Mailing address

525 W Parr Rd
Berne, IN 46711-1131
Phone (260) 589-2110

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1841492238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 W PARR RD",
            "city": "BERNE",
            "state": "IN",
            "postal_code": "467111131",
            "telephone_number": "260-589-2110",
            "fax_number": "260-589-8512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 W PARR RD",
            "city": "BERNE",
            "state": "IN",
            "postal_code": "467111131",
            "telephone_number": "260-589-2110",
            "fax_number": "260-589-8512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STOLLER DENTAL CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "STOLLER",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "260-589-2110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IN",
            "license": "54001449A",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12007524A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.