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Individual
DR. JOHN DAVID STANLEY
Active
Individual
DR. JOHN DAVID STANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
5221
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1653750
UNITED CONCORDIA
AL
01
—
1658192
UNITED CONCORDIA
AL
01
—
515-25362
BLUE CROSS BLUE SHIELD
AL
01
—
515-25517
BLUE CROSS BLUE SHIELD
AL
Enumeration date
11/16/2006
Last updated
08/31/2015
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