Individual
DR. PATRICK MICHAEL STOOKSBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
153 KENNEDY DR, MARTIN, TN 38237-3309
(731) 587-9670
Mailing address
153 KENNEDY DR, MARTIN, TN 38237-3309
(731) 587-9670
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8602
TN
Other
Enumeration date
03/31/2007
Last updated
07/08/2007
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