Stanford Dental Clinic, LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

STANFORD DENTAL CLINIC, LLC

Practice address

306 N Commerce St
Ripley, MS 38663-1721

Phone

(662) 837-7822

Fax

(662) 837-1076

NPI assigned

Apr 10, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Stephen T. Stanford, D.D.S

Title

Owner

Phone

(662) 837-7822

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 2

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

• John David Stanford, DDS

  • Dentist
  • Ripley, MS
  • NPI 1952313132
  NPD (past)
• Megan Roebuck Stanford, O.D.

  • Optometrist
  • San Antonio, TX
  • NPI 1972951663
  NPD (past)

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

{
    "created_epoch": "1554854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554854400000",
    "number": "1891258463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 N COMMERCE ST",
            "city": "RIPLEY",
            "state": "MS",
            "postal_code": "386631721",
            "telephone_number": "662-837-7822",
            "fax_number": "662-837-1076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 N COMMERCE ST",
            "city": "RIPLEY",
            "state": "MS",
            "postal_code": "386631721",
            "telephone_number": "662-837-7822",
            "fax_number": "662-837-1076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANFORD DENTAL CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-10",
        "last_updated": "2019-04-10",
        "status": "A",
        "authorized_official_last_name": "STANFORD",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-837-7822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "662-837-1076",
            "affiliation": "N",
            "endpointDescription": "Fax",
            "address_1": "306 N Commerce St",
            "city": "Ripley",
            "state": "MS",
            "country_code": "US",
            "postal_code": "386631721",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shashondiandrina Janisha Smith
• South Tippah School District
• Dwalia Sherree South-Bitter, MD
• Diana Baker Spencer, R.PH.
• Rebecca Marie Ragland Spencer
• Stanford Vision Clinic LLC
• John David Stanford, DDS
• Cheryl D Stevenson
• Lauren Bailey Steverson, PT
• Wanda Sue Stroupe, NP

• Dentist in Ripley, MS
• Providers in Ripley, MS by specialty
• Dentist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2019; 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.