Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1649337494 Individual Practitioner Male Practitioner

Dr. Terrill Lee Stoller , DDS

Dentist - General Practice • South Bend, IN

Professional Overview & Biography Verified Profile Summary

Dr. Terrill Stoller, DDS is a registered healthcare professional specializing in Dentist - General Practice in South Bend, IN. Practice services are available at 60420 US 31 S under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

60420 Us 31 S

South Bend, IN 466145138

Telephone 5742916020
Fax 5742916051
Associated Practice Facility / Clinic
🏢 Ronald Cruz Abaro Dds Pc Facility NPI 1760182232

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in South Bend, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
50 Specialists

Practicing in South Bend, IN (2204 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IN 12007302A

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 60420 US 31 S, SOUTH BEND, IN 466145138 (Tel: 5742916020)

📍
Updated Business Mailing Address July 08, 2007

Registered at 60420 US 31 S, SOUTH BEND, IN 466145138 (Tel: 5742916020)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as TERRILL STOLLER, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #12007302A in IN)

🟢
Initial NPI Registration & Enumeration January 02, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1649337494
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 02, 2007
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

60420 Us 31 S

South Bend, IN 466145138

Phone: 5742916020

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.