MEDICARE: DR. AILEAN CHASE STINGLEY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	MS260691	MS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1174590319
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AILEAN CHASE STINGLEY

Provider Business Mailing Address
First Line	:	PO BOX 5043
Second Line	:
City	:	JACKSON
State	:	MS
Zip	:	39296-5043
Country	:	US
Telephone Number	:	601-957-2343
Fax Number	:	601-957-2344

Provider Business Practice Location Address
First Line	:	1551 W GOVERNMENT ST
Second Line	:
City	:	BRANDON
State	:	MS
Zip	:	39042
Country	:	US
Telephone Number	:	601-825-7280
Fax Number	:	601-825-8130

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/07/2006
Last Update Date	:	07/04/2018

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Directions to “ DR. AILEAN CHASE STINGLEY ” Practice Location

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