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Individual

DR. BENJAMIN CLAY STALLINGS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1630 MAIN STREET, HUMBOLDT, TN 38343
(731) 784-3143
(731) 784-7979
Mailing address
1630 MAIN STREET, HUMBOLDT, TN 38343
(731) 784-3143
(731) 784-7979

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
0401007366
VA
1223G0001X
General Practice Dentistry
Primary
DS0000004330
TN

Other

Enumeration date
11/16/2006
Last updated
07/08/2007
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