Tony Michael Stanley Jr., D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

015490 Issued in GA

Practice address

137 Prominence CT Ste 140
Dawsonville, GA 30534-8938

Phone

(706) 265-6877

Fax

(866) 923-3790

NPI assigned

Mar 29, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Timber Ridge Dental Center

  • Dental Clinic/Center
  • Dawsonville, GA
  • NPI 1871351403
  NPD Authorized official

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

{
    "created_epoch": "1459209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1437512480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5750 STEVEHAVEN LN",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300285998",
            "telephone_number": "706-502-0722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 PROMINENCE CT STE 140",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305348938",
            "telephone_number": "706-265-6877",
            "fax_number": "866-923-3790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "TONY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-29",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "015490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Souther, MSN, RN CPNP-PC
• Southern Orthotics, Inc.
• Spark Path Therapy LLC
• Angela O'Neill Sparks, OTD
• Specialty Orthopaedics, PC
• Stanton Optical
• Joseph M Stapp, MA, LPC, NCC
• Star Therapy Inc
• Eric Thomas Steed, PT
• Laura Marie Stefanic, DNP, ARNP

• General Practice Dentistry in Dawsonville, GA
• Providers in Dawsonville, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; 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.