Mark Jared Stanley in Excelsior - Dentist
Mark Jared Stanley - NPI 1386808558
Mark Jared Stanley is a Dentist in Excelsior, Minnesota. Mark Jared Stanley practices all healthcare services and medical treatments related to Dentist. The NPI Number for Mark Jared Stanley is 1386808558. The last update date is 2008-07-16.
Mark Jared Stanley's current location address is 25830 Birch Bluff Rd, Excelsior, Minnesota. You can contact this provider via phone number 9524128313. The mailing address for Mark Jared Stanley is 25830 Birch Bluff Rd, Excelsior, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Jared Stanley |
|---|---|
| Address | 25830 Birch Bluff Rd, Excelsior, Minnesota |
| Phone Number | 9524128313 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.D.S |
NPI Number Detail
| NPI Number | 1386808558 |
|---|---|
| Provider Enumeration Date | 2008-07-16 |
| Last Updated Date | 2008-07-16 |
Provider Mailing Address Detail
| Address | 25830 Birch Bluff Rd |
|---|---|
| City | Excelsior |
| State | Minnesota (MN) |
| Post Code | 553318309 |
| Phone Number | 9524128313 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | D12601 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique 10-digit identification code assigned to Mark Jared Stanley by the Centers for Medicare & Medicaid Services?
The Mark Jared Stanley has been issued the NPI (National Provider Identifier) 1386808558, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Mark Jared Stanley's physical address?
The Mark Jared Stanley is physically located at 25830 Birch Bluff Rd, in the city of Excelsior, MN, with the postal code 553318309.
What is the Mark Jared Stanley's area of specialization and corresponding taxonomy classification?
The Mark Jared Stanley's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.
When was the Mark Jared Stanley's 1386808558 issued?
The Mark Jared Stanley's 1386808558 was issued on 2008-07-16.
As of what date were the Mark Jared Stanley's details last updated?
The information pertaining to the Mark Jared Stanley, including its address, specialty, and other details, was most recently updated on 2008-07-16.
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