Individual
DR. JOHN G STANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., D.M.D.
Contact information
Practice address
2331 TYLER PKWY, SUITE 4, BISMARCK, ND 58503-0871
(701) 255-4000
(701) 255-1992
Mailing address
2331 TYLER PKWY, SUITE 4, BISMARCK, ND 58503-0871
(701) 255-4000
(701) 255-1992
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
1983
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13935
—
ND
05
—
41386
—
ND
Enumeration date
06/21/2006
Last updated
06/25/2009
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