# PATRICIA A. STAINBACK, D.M.D., P.A.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Healthy Smiles Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083834840
- **Authorized official:** MR. HORACE STAINBACK JR. (SECRETARY/TREASURER)
- **Authorized official phone:** (704) 720-0692

## Contact information

- **Practice address:** 798 CHURCH ST N, CONCORD, NC 28025-4368
- **Practice address phone:** (704) 720-0692
- **Practice address fax:** (704) 720-0693
- **Mailing address:** 798 CHURCH ST N, CONCORD, NC 28025-4368
- **Mailing address phone:** (704) 720-0692
- **Mailing address fax:** (704) 720-0693

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 6637 | NC | Yes |

## Other

- **Enumeration date:** 04/26/2007
- **Last updated:** 03/22/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 899001V | — | NC |