Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Chad Stoller, DDS, PA-C

Individual provider Medical Physician Assistant · NPI 1700871118

Dr. Chad Stoller, DDS, PA-C is a Medical Physician Assistant in Fort Wayne, Indiana. Licensed in Indiana and Michigan. Registered with an NPI since 2005.

Licensed in
IN, MI
In the registry since
2005
Specialties on file
3
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2828 E State Blvd
Fort Wayne, IN 46805-4761
Phone: (260) 482-6689
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 12013438A (IN)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 5601003571 (MI)
Physician Assistant Taxonomy 363A00000X · Licence 5601003571 (MI)

Record details

NPI number1700871118
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS , PA-C
Sole proprietorNo
NPI enumeratedSeptember 13, 2005
Last updated in NPPESJuly 22, 2020
Certification dateJuly 22, 2020

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