Stooksberry Family Dental P.C.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

8602 Issued in TN

Legal business name

STOOKSBERRY FAMILY DENTAL P.C.

Practice address

153 Kennedy Dr
Martin, TN 38237-3309

Phone

(731) 587-9670

Fax

(731) 281-4544

NPI assigned

Nov 29, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Patrick Michael Stooksberry, D.D.S.NPI 1699895631

Title

President

Phone

(731) 587-9670

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patrick Michael Stooksberry, D.D.S.

  • General Practice Dentistry
  • Martin, TN
  • NPI 1699895631
  NPD (past) Authorized official
• Ronald Earl Foley, D.D.S.

  • General Practice Dentistry
  • Martin, TN
  • NPI 1518087550
  NPD (past)

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

{
    "created_epoch": "1354147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354147200000",
    "number": "1780929984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 KENNEDY DR",
            "city": "MARTIN",
            "state": "TN",
            "postal_code": "382373309",
            "telephone_number": "731-587-9670",
            "fax_number": "731-281-4544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 KENNEDY DR",
            "city": "MARTIN",
            "state": "TN",
            "postal_code": "382373309",
            "telephone_number": "731-587-9670",
            "fax_number": "731-281-4544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STOOKSBERRY FAMILY DENTAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-29",
        "last_updated": "2012-11-29",
        "status": "A",
        "authorized_official_last_name": "STOOKSBERRY",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "731-587-9670",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TN",
            "license": "8602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clinton Smith, BCBA-D
• Andrea Sowell, LPN
• Amber Leann Steele, FNP-C
• Stephen D Raines
• Morgan S Stone
• Amiee Foley Stooksberry, APRN
• Patrick Michael Stooksberry, D.D.S.
• Haley Sullivan, ATC, LAT
• Carla Rosanne Summers, LPN
• Amanda Supeck, OTR/ L

• Dental Clinic/Center in Martin, TN
• Providers in Martin, TN by specialty
• Dental Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2012; 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.