Individual
DR. PHILIP J. STANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3295 FORNEY STREET, FORT JACKSON, SC 29207-5780
(803) 751-6213
(803) 751-6886
Mailing address
3295 FORNEY STREET, FORT JACKSON, SC 29207-5780
(803) 751-6213
(803) 751-6886
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN011056
GA
Other
Enumeration date
10/20/2006
Last updated
07/08/2007
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