Keith Wayne Stanley, DDS
Individual provider Active NPI General Practice Dentistry · Wilton, IA
NPI 1649355496 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1649355496
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- IA6220 (IA)
- Practice address
- 325 Cedar St.
Wilton, IA 52778-0007 - Phone
- (563) 732-2612
- Fax
- (563) 732-2066
- NPI assigned
- Oct 26, 2006
- 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 |
|---|---|---|---|
| IA6220 | IA | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | IA6220 | IA | Yes |
Addresses
Primary practice location
325 Cedar St.
Wilton, IA 52778-0007
Mailing address
325 Cedar St.
Wilton, IA 52778-0007
Phone (563) 732-2612
Other providers in Wilton, IA
- Laura Fitzpatrick Sass Meincke
- Simpson Memorial Home Inc
- Simpson Memorial Home, Inc
- Matthew Lynn Sojka
- Annie Springsteen
- Jason Daniel Thornburg
- Unity Healthcare
- Wester Drug, Inc
- Wester Drug, Inc
- Wilton Chiropractic Clinic, PLLC
All providers in Wilton, IA · General Practice Dentistry in Iowa
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.