Individual
DR. STANLEY A SISK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
310 SANDERSON ST, SUITE 101, ALCOA, TN 37701-2428
(865) 982-6550
Mailing address
5201 WESTERN AVE APT 611, KNOXVILLE, TN 37921-7201
(865) 898-9281
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8543
TN
Other
Enumeration date
08/09/2006
Last updated
07/08/2007
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