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NPI Code Detail

MEDICARE: DR. DAVID RAY STANLEY D.D.S., M.S.

MEDICARE:  DR. DAVID RAY STANLEY  D.D.S., M.S.
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
11223P0221XPediatric Dentistry6834TN

General Provider Information

NPI Number : 1114908530
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID RAY STANLEY D.D.S., M.S.
Provider Business Mailing Address
First Line : 614 E CLARK BLVD
Second Line :
City : MURFREESBORO
State : TN
Zip : 37130-2121
Country : US
Telephone Number : 615-890-0885
Fax Number : 615-890-8818
Provider Business Practice Location Address
First Line : 614 E CLARK BLVD
Second Line :
City : MURFREESBORO
State : TN
Zip : 37130-2121
Country : US
Telephone Number : 615-890-0885
Fax Number : 615-890-8818
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/11/2005
Last Update Date : 07/08/2007

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Directions to “ DR. DAVID RAY STANLEY D.D.S., M.S.” Practice Location

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