Organization
STANSELL & PETREE FAMILY DENTISTRY, P. C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT E STANSELL (PRESIDENT)
(770) 867-2277
Entity
Organization
Contact information
Practice address
369 E BROAD ST, WINDER, GA 30680-2278
(770) 867-2277
(770) 868-5988
Mailing address
369 E BROAD ST, WINDER, GA 30680-2278
(770) 867-2277
(770) 868-5988
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10705
GA
1223G0001X
General Practice Dentistry
9836
GA
Other
Enumeration date
11/09/2006
Last updated
08/22/2020
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