STOOKSBERRY FAMILY DENTAL P.C. NPI 1780929984

NPI Information

NPI: 1780929984
Provider Name: STOOKSBERRY FAMILY DENTAL P.C.
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
153 KENNEDY DR
MARTIN, TN
ZIP 38237
Phone: (731) 587-9670
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STOOKSBERRY FAMILY DENTAL P.C. is a dental clinic center in Martin, TN. STOOKSBERRY FAMILY DENTAL P.C. NPI is 1780929984. The provider is registered as an organization entity type.

The provider's business location address is:

153 KENNEDY DR
MARTIN, TN
ZIP 38237-309
Phone: (731) 587-9670
Fax: (731) 281-4544

The provider's authorized official is Patrick Michael Stooksberry .
The authorized official title is President and has the following contact phone number (731) 587-9670.

The enumeration date for this NPI number is 11/29/2012 and was last updated on 11/29/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	8602	TENNESSEE	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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