Stanley Family Dental, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

STANLEY FAMILY DENTAL, PLLC

Practice address

733 Lake Harbour Dr
Suite G
Ridgeland, MS 39157-4367

Phone

(601) 856-4888

Fax

(601) 856-8077

NPI assigned

Sep 15, 2010

Organization subpart

No

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

Authorized official

Name

Adriane M Stanley, D.M.D.

Title

Owner/Dentist

Phone

(601) 856-4888

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1284508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284508800000",
    "number": "1699083493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "733 LAKE HARBOUR DR",
            "address_2": "SUITE G",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391574367",
            "telephone_number": "601-856-4888",
            "fax_number": "601-856-8077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 LAKE HARBOUR DR",
            "address_2": "SUITE G",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391574367",
            "telephone_number": "601-856-4888",
            "fax_number": "601-856-8077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANLEY FAMILY DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-15",
        "last_updated": "2010-09-15",
        "status": "A",
        "authorized_official_last_name": "STANLEY",
        "authorized_official_first_name": "ADRIANE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "601-856-4888",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Logan Stafford, LPC
• Steven R Stafford, LPC
• Whitney Leigh Stafford, SLP
• Standard Medical Equipment Corporation
• Addie Stanford, D.C.
• Adriane Medenwald Stanley, D.M.D.
• Kianna Stanley
• Stat Healthcare LLC
• State of Mississippi - University of Mississippi Medical Center
• State of Mississippi - University of Mississippi Medical Center

• Dental Clinic/Center in Ridgeland, MS
• Providers in Ridgeland, MS by specialty
• Dental Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2010; 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.