Stanley, John G
Stanley, John G is an sole proprietor health care provider with primary practice located at 2331 Tyler Pkwy Suite 4, Bismarck ND 58503-0871. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Stanley, John G can be contacted via phone (701) 255-4000.Contact Information
Primary practice address
2331 Tyler Pkwy Suite 4
Bismarck ND 58503-0871
Phone: (701) 255-4000
Fax: (701) 255-1992
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 1983 | North Dakota |
Profile Details
| NPI number | 1285670067 |
|---|---|
| LBN Legal business name | Stanley, John G |
| Credentials | M.D., D.M.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 21st, 2006 |
| Last updated | Jun 25th, 2009 - about 15 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 | 1285670067 | NPPES |
| North Dakota | MEDICAID | 41386 | |
| North Dakota | MEDICAID | 13935 |
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