Individual
JOHN DAVID STANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
306 N COMMERCE ST, RIPLEY, MS 38663
(662) 837-7822
(662) 837-1076
Mailing address
306 N COMMERCE ST, RIPLEY, MS 38663
(662) 837-7822
(662) 837-1076
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
250889
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0060036
—
MS
Enumeration date
08/13/2006
Last updated
07/08/2007
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