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Peter Joseph Stanley, DDS
Student in an Organized Health Care Education/Training Program in Chattanooga, Tennessee
NPI 1528483716

Peter Joseph Stanley is a Student in an Organized Health Care Education/Training Program based in Chattanooga, TN. Peter Joseph Stanley practices in Chattanooga, TN and has the professional credentials of DDS. The NPI Number for Peter Joseph Stanley is 1528483716 and holds a License No. 4126 (Tennessee).

The current practice location address for Peter Joseph Stanley is 1612 Gunbarrel Rd Ste 102, Chattanooga, TN and can be reached out via phone at 423-954-9511 and via fax at 423-954-9912.

Location: 1612 Gunbarrel Rd Ste 102, Chattanooga, TN, 37421-4135
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528483716
Provider Name
Peter Joseph Stanley
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1612 Gunbarrel Rd Ste 102, Chattanooga, TN, 37421-4135
Phone Number
423-954-9511
Fax Number
423-954-9912
Provider Enumeration Date
02/24/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
215452608 05 AR
institution
Provider Business Practice Location Address Details
Address
1612 Gunbarrel Rd Ste 102
City
Chattanooga
State
Tennessee
Zip
37421-4135
Phone Number
423-954-9511
Fax Number
423-954-9912
person
Provider Business Mailing Address Details
Address
1612 Gunbarrel Rd Ste 102
City
Chattanooga
State
Tennessee
Zip
37421-4135
Phone Number
423-954-9511
Fax Number
423-954-9912
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
30403 (Iowa)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
4126 (Arkansas)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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