Individual
DR. STANLEY R WADDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1900 KIRBY PKWY, SUITE200, GERMANTOWN, TN 38138-3610
(901) 756-8855
(901) 756-8752
Mailing address
1900 KIRBY PKWY, SUITE200, GERMANTOWN, TN 38138-3610
(901) 756-8855
(901) 756-8752
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3936
TN
Other
Enumeration date
08/11/2006
Last updated
07/08/2007
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