Individual
DR. JOEL CHADWICK STANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
704 S 28TH AVE, SUITE 10, HATTIESBURG, MS 39402-2524
(601) 579-6399
(601) 579-9990
Mailing address
704 S 28TH AVE, SUITE 10, HATTIESBURG, MS 39402-2524
(601) 579-6399
(601) 579-9990
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
3070-98
MS
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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