Joel Chadwick Stanley, D.M.D.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

3070-98 Issued in MS

Practice address

704 S 28TH Ave
Suite 10
Hattiesburg, MS 39402-2524

Phone

(601) 579-6399

Fax

(601) 579-9990

NPI assigned

Apr 16, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154546117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 S 28TH AVE",
            "address_2": "SUITE 10",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394022524",
            "telephone_number": "601-579-6399",
            "fax_number": "601-579-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 S 28TH AVE",
            "address_2": "SUITE 10",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394022524",
            "telephone_number": "601-579-6399",
            "fax_number": "601-579-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "JOEL",
        "middle_name": "CHADWICK",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MS",
            "license": "3070-98",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Standland
• Lowry C Stanford Jr., MD
• Melissa Stanford, CNP
• Brankica Stanisic, MD
• Amanda Stanley
• Tracy Faler Stanley, D.M.D. M.S.
• Emilie McKenzie Stansell, PA-C
• Julia Graham Starrett, LPC
• Stat to Go Lab Testing LLC
• Donna W Stauter, OTR/L

• Endodontics in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• Endodontics in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.