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Organization
GEORGE C. STACEY, JR. D.M.D. FAMILY DENISTRY P.C.
Active
Organization
GEORGE C. STACEY, JR. D.M.D. FAMILY DENISTRY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE CARROLL STACEY JR. D.M.D. (OWNER)
(256) 546-4947
Entity
Organization
Contact information
Practice address
938 FORREST AVE, GADSDEN, AL 35901-3623
(256) 546-4947
(256) 546-8846
Mailing address
938 FORREST AVE, GADSDEN, AL 35901-3623
(256) 546-4947
(256) 546-8846
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5034
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
515-02634
BC/BS OF AL
AL
Enumeration date
08/20/2006
Last updated
08/22/2020
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