Philip J. Stanley, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN011056 Issued in GA

Practice address

3295 Forney Street
Fort Jackson, SC 29207-5780

Phone

(803) 751-6213

Fax

(803) 751-6886

NPI assigned

Oct 20, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770666232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3295 FORNEY STREET",
            "city": "FORT JACKSON",
            "state": "SC",
            "postal_code": "292075780",
            "telephone_number": "803-751-6213",
            "fax_number": "803-751-6886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3295 FORNEY STREET",
            "city": "FORT JACKSON",
            "state": "SC",
            "postal_code": "292075780",
            "telephone_number": "803-751-6213",
            "fax_number": "803-751-6886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "PHILIP",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN011056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Todd Michael Rowe, PA
• Stefan Sherman, DDS
• Emily Grace Slusher
• Martha Monson Sribnick, MD
• Anthony Daniel Stakis, DMD
• Chrystal Regina Stephens, DMD
• Philip S. Suh, M.D.
• Migdalia Torres, DDS
• Jeffrey Earl Trigg, P.A.
• Leah Marie Wiger, DDS

• General Practice Dentistry in Fort Jackson, SC
• Providers in Fort Jackson, SC by specialty
• General Practice Dentistry in South Carolina

• 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.