Harry Patrick Stanley, DMD
Individual provider Active NPI Pediatric Dentistry · Decatur, AL
NPI 1639201700 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1639201700
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Dentistry 1223P0221X
- License
- 3719 (AL)
- Practice address
- 1304 14TH Ave SE
Decatur, AL 35601-4315 - Phone
- (256) 355-0138
- NPI assigned
- Mar 12, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3719 | AL | MD | Pediatric Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 3719 | AL | Yes |
Addresses
Primary practice location
1304 14TH Ave SE
Decatur, AL 35601-4315
Mailing address
1304 14TH Ave SE
Decatur, AL 35601-4315
Phone (256) 355-0138
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 510-90132 | Other | AL | BCBS OF AL |
Other providers in Decatur, AL
- Benjamin Stanley Stachowiak
- Sierra Marie Stadnek
- Samuel Stahly
- Kimberly B Standridge
- Louanne Stanford
- Cedric Dewayne Stanton
- Star Optometry Al, LLC
- Marshal Paul Stasica
- State of Alabama
- State of Alabama Department of Public Health
All providers in Decatur, AL · Pediatric Dentistry in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.