Anne Comfort Stehli-Clouser, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

17890 Issued in OH

Practice address

117 South St
Suite 209
Chardon, OH 44024-1340

Phone

(440) 286-9551

Fax

(440) 286-9656

NPI assigned

Jul 17, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Anne Comfort Clouser Professional name

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": "1216252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216252800000",
    "number": "1962666024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 SOUTH STREET SUITE 209",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440249001",
            "telephone_number": "440-286-9551",
            "fax_number": "440-286-9656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 SOUTH ST",
            "address_2": "SUITE 209",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440241340",
            "telephone_number": "440-286-9551",
            "fax_number": "440-286-9656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEHLI-CLOUSER",
        "first_name": "ANNE",
        "middle_name": "COMFORT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-17",
        "last_updated": "2008-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "17890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNE",
            "last_name": "CLOUSER",
            "middle_name": "COMFORT",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Dentist in Chardon, OH
• Providers in Chardon, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.