Individual
DR. TERRY STUBBLEFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
8935 GOODMAN RD, OLIVE BRANCH, MS 38654-2201
(662) 895-5012
(662) 895-4616
Mailing address
8935 GOODMAN RD, OLIVE BRANCH, MS 38654-2201
(662) 895-5012
(662) 895-4616
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
279894
MS
Other
Enumeration date
03/04/2008
Last updated
03/04/2008
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