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Individual

KAI ALEXANDER STANDIFER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2432 JEFFRESS RD, MILLS RIVER, NC 28759-3865
(828) 501-9453
Mailing address
14 LEIGHTON CT, SIMPSONVILLE, SC 29680-7049

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14194
NC
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
01/07/2025
Last updated
06/03/2026
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