Individual
DR. JOHN DAVID STANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2600 BELL RD, MONTGOMERY, AL 36117-4375
(334) 277-6690
(334) 277-6721
Mailing address
9407 WINFIELD PL, MONTGOMERY, AL 36117-5177
(334) 277-6690
(334) 277-6721
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
5221
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1653750
UNITED CONCORDIA
AL
01
—
1658192
UNITED CONCORDIA
AL
01
—
515-25362
BLUE CROSS BLUE SHIELD
AL
01
—
515-25517
BLUE CROSS BLUE SHIELD
AL
Enumeration date
11/16/2006
Last updated
08/31/2015
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