# TODD T. STANSBERRY, D.D.S. , PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568973089
- **Authorized official:** MISS DONNA M CARUSO (OFFICE MANAGER)
- **Authorized official phone:** (972) 867-8882

## Contact information

- **Practice address:** 5501 INDEPENDENCE PKWY STE 200, PLANO, TX 75023-5445
- **Practice address phone:** (972) 867-8882
- **Practice address fax:** (972) 867-9321
- **Mailing address:** 5501 INDEPENDENCE PKWY STE 200, PLANO, TX 75023-5445
- **Mailing address phone:** (972) 867-8882
- **Mailing address fax:** (972) 867-9321

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 24177 | TX | Yes |

## Other

- **Enumeration date:** 10/24/2017
- **Last updated:** 10/24/2017
