Healthcare Provider Details

I. General information

NPI: 1033125125
Provider Name (Legal Business Name): STANLEY DON TURNER DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/31/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3118 BUFFALO GAP RD
ABILENE TX
79605-6810
US

IV. Provider business mailing address

3118 BUFFALO GAP RD
ABILENE TX
79605-6810
US

V. Phone/Fax

Practice location:
  • Phone: 325-698-3384
  • Fax: 325-692-3687
Mailing address:
  • Phone: 325-698-3384
  • Fax: 325-692-3687

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number13149
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: