Individual
DR. JEFFREY RALPH STOUDENMIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
325 ALABAMA AVE W, THOMASVILLE, AL 36784-3105
(334) 636-2774
(334) 636-2799
Mailing address
325 ALABAMA AVE W, THOMASVILLE, AL 36784-3105
(334) 636-2774
(334) 636-2799
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4880
AL
Other
Enumeration date
01/09/2007
Last updated
07/08/2007
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