Individual
MS. JESSICA STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
655 DEERWOOD AVE, NEENAH, WI 54956-1629
(315) 657-2719
Mailing address
655 DEERWOOD AVE, NEENAH, WI 54956-1629
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
103146-875
WI
1223G0001X
General Practice Dentistry
110078
CA
Other
Enumeration date
05/02/2023
Last updated
10/01/2025
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