Organization
PATRICIA A. STAINBACK, D.M.D., P.A.
Active
Other names
Healthy Smiles Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HORACE STAINBACK JR. (SECRETARY/TREASURER)
(704) 720-0692
Entity
Organization
Contact information
Practice address
798 CHURCH ST N, CONCORD, NC 28025-4368
(704) 720-0692
(704) 720-0693
Mailing address
798 CHURCH ST N, CONCORD, NC 28025-4368
(704) 720-0692
(704) 720-0693
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6637
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
899001V
—
NC
Enumeration date
04/26/2007
Last updated
03/22/2010
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