Healthcare Provider Details

I. General information

NPI: 1629083555
Provider Name (Legal Business Name): STANLEY D. TURNER, DDS, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2006
Last Update Date: 08/22/2020
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: STANLEY D TURNER
Title or Position: PRESIDENT
Credential: DDS
Phone: 325-698-3384