Stanley, Peter Joseph
Stanley, Peter Joseph is an sole proprietor health care provider with primary practice located at 1612 Gunbarrel Rd Ste 102 , Chattanooga TN 37421-4135. He recently has 2 registered licenses in different health care specialties including Dental Providers / Pediatric Dentistry, Student, Health Care / Student in an Organized Health Care Education/Training Program. Dental Providers / Pediatric Dentistry is his primary health care specialty. Stanley, Peter Joseph can be contacted via phone (423) 954-9511.Contact Information
Primary practice address
1612 Gunbarrel Rd Ste 102
Chattanooga TN 37421-4135
Phone: (423) 954-9511
Fax: (423) 954-9912
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 4126 | Arkansas |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 30403 | Iowa |
Profile Details
| NPI number | 1528483716 |
|---|---|
| LBN Legal business name | Stanley, Peter Joseph |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 24th, 2014 |
| Last updated | Mar 21st, 2022 - about 3 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 | 1528483716 | NPPES |
| Arkansas | MEDICAID | 215452608 |
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