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General NPI Number Information
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NPI Number | 1346193976
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Entity Type | Organization
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Legal Business Name | STANLEY ORAL AND MAXILLOFACIAL SURGERY, PLLC
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Dates
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Enumeration Date | 02/16/2026
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Last Update Date | 02/16/2026
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Provider Practice Location Address
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Address Line | 1017 EXECUTIVE DR STE 101
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City | HIXSON
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State | TN
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Zip | 37343-7911
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Country | US
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Telephone | 423-602-5170
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Fax | 423-602-5179
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Provider Business Mailing Address
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Address Line | 1017 EXECUTIVE DR STE 101
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City | HIXSON
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State | TN
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Zip | 37343-7911
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Country | US
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Telephone | 423-602-5170
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Fax | 423-602-5179
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | DR. BRANDON STANLEY
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Credential | DMD
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Telephone | 205-401-6225
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number |
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License Number State |
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