Individual
DR. HARRY PATRICK STANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1304 14TH AVE SE, DECATUR, AL 35601-4315
(256) 355-0138
Mailing address
1304 14TH AVE SE, DECATUR, AL 35601-4315
(256) 355-0138
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
3719
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
510-90132
BCBS OF AL
AL
Enumeration date
03/12/2007
Last updated
07/08/2007
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