Individual
STANLEY M PRINCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
124A ANDREWS WAY, SAINT MARYS, GA 31558-9109
(912) 882-4274
(912) 673-1311
Mailing address
124A ANDREWS WAY, SAINT MARYS, GA 31558-9109
(912) 882-4274
(912) 673-1311
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
011016
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
164676
UNITED CONCORDIA
GA
05
—
462151A
—
GA
Enumeration date
09/14/2006
Last updated
11/19/2014
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