Stanaland, Robert W
Stanaland, Robert W is an sole proprietor health care provider with primary practice located at 840 W Clements St , Odessa TX 79763. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Stanaland, Robert W can be contacted via phone (432) 333-3888.Contact Information
Primary practice address
840 W Clements St
Odessa TX 79763
Phone: (432) 333-3888
Fax: (432) 335-3707
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 22784 | Texas |
Profile Details
| NPI number | 1891856944 |
|---|---|
| LBN Legal business name | Stanaland, Robert W |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 13th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891856944 | NPPES |
| Texas | MEDICAID | 1815706 |
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