Provider Demographics
NPI:1588783294
Name:STOCKER, DAVID P (DDS)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:P
Last Name:STOCKER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:340 HALLMAN MILL RD
Mailing Address - Street 2:
Mailing Address - City:PHOENIXVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19460-1520
Mailing Address - Country:US
Mailing Address - Phone:610-495-1606
Mailing Address - Fax:610-873-8312
Practice Address - Street 1:110 HOPEWELL RD
Practice Address - Street 2:SUITE 1B
Practice Address - City:DOWNINGTOWN
Practice Address - State:PA
Practice Address - Zip Code:19335-1047
Practice Address - Country:US
Practice Address - Phone:610-269-8522
Practice Address - Fax:610-873-8312
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS024328L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice