Stillwater Dental,PC

Primary specialty

DentistTaxonomy code 122300000X

License

6772 Issued in AZ

Legal business name

STILLWATER DENTAL,PC

Practice address

3773 Crossings Dr
Suitec
Prescott, AZ 86305-7121

Phone

(928) 717-8400

NPI assigned

Jan 4, 2010

Last updated

Jan 4, 2010By 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. Jerome C Cutler, DDS

Title

Owner

Phone

(928) 775-7433

Specialties & licenses 4

Addresses

Locations

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

{
    "created_epoch": "1262563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262563200000",
    "number": "1861722563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3773 CROSSINGS DR",
            "address_2": "SUITEC",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863057121",
            "telephone_number": "928-717-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3773 CROSSINGS DR",
            "address_2": "SUITEC",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863057121",
            "telephone_number": "928-717-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STILLWATER DENTAL,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-04",
        "last_updated": "2010-01-04",
        "status": "A",
        "authorized_official_last_name": "CUTLER",
        "authorized_official_first_name": "JEROME",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-775-7433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "6407",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "6207",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "5708",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "6772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stefanie Ann Steward, M.S. CCC-SLP
• Brett Allen Stewart, AGNP
• Holly Dae Stewart
• Joseph B Stewart, EDD
• Savannah Stidham
• STM Services LLC
• Kathryn Ann Stoecker
• Mark H Stoecker, MD
• Dean H Stokes, MD
• Monica Rae Stotler, O.D.

• Dentist in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2010; 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.