Stanley, Corey Mark
Stanley, Corey Mark is an individual health care provider with primary practice located at 60 Mdg/Sgic 101 Bodin Cir, Travis Afb CA 94535. He recently has 2 registered licenses in different health care specialties including Dental Providers / Periodontics, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Stanley, Corey Mark can be contacted via phone (707) 423-7008.Contact Information
Primary practice address
60 Mdg/Sgic 101 Bodin Cir
Travis Afb CA 94535
Phone: (707) 423-7008
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | D-4796-PE | Idaho |
| Dental Providers / Dentist | 122300000X | DE7342 | Washington |
Profile Details
| NPI number | 1881696458 |
|---|---|
| LBN Legal business name | Stanley, Corey Mark |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 12th, 2005 |
| Last updated | May 8th, 2019 - about 5 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.
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