Stephanie M Delice, P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN011843 Issued in GA

Legal business name

STEPHANIE M DELICE, P.C.

Practice address

3579 Hwy 138
202
Stockbridge, GA 30281

Phone

(770) 474-6111

Fax

(770) 474-5897

NPI assigned

Mar 15, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Stephanie M Delice, DDS

Title

Dentist

Phone

(770) 474-6111

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217203200000",
    "number": "1891829651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3579 HIGHWAY 138 SE STE 202",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302816807",
            "telephone_number": "770-474-6111",
            "fax_number": "770-474-5897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3579 HWY 138",
            "address_2": "202",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "30281",
            "telephone_number": "770-474-6111",
            "fax_number": "770-474-5897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHANIE M DELICE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2008-07-28",
        "status": "A",
        "authorized_official_last_name": "DELICE",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "770-474-6111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN011843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000925064C",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "001563854",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kiesha Michele Stanley, LPC
• Darian Starling
• Tiffany Bryan Starnes, MED, NCC, LPC
• Christopher Lee Steele, PT
• Emma Anne Steinhaus, BA
• Karen Stephenson, LMT
• Karen B Stevenson, M.D.
• Derex L Stewart, MD
• Jamari Stewart
• Susan Ann Stewart, LPC

• General Practice Dentistry in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2008; 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.