Individual
BRANDON CAYLE STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1350 MACKEY BRANCH DR STE 110, CHATTANOOGA, TN 37421-3483
(423) 296-8210
Mailing address
2450 PEPPERRELL ST, LACKLAND A F B, TX 78236-5345
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
5802C1
AL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
10924
TN
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
33799
TX
Other
Enumeration date
10/13/2010
Last updated
11/28/2022
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