Organization
STOOKSBERRY FAMILY DENTAL P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK MICHAEL STOOKSBERRY D.D.S. (PRESIDENT)
(731) 587-9670
Entity
Organization
Contact information
Practice address
153 KENNEDY DR, MARTIN, TN 38237-3309
(731) 587-9670
(731) 281-4544
Mailing address
153 KENNEDY DR, MARTIN, TN 38237-3309
(731) 587-9670
(731) 281-4544
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
8602
TN
Other
Enumeration date
11/29/2012
Last updated
11/29/2012
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