Stiles, Austin Richard

Stiles, Austin Richard is an sole proprietor health care provider with primary practice located at 2542 Enterprise Dr , Opelika AL 36801-6860. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Stiles, Austin Richard can be contacted via phone (334) 510-3990.

Contact Information

Primary practice address
2542 Enterprise Dr Opelika AL 36801-6860
Fax: (334) 510-3991
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D-0007053-C1 Alabama

Profile Details

NPI number 1184354466
LBN Legal business name Stiles, Austin Richard
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 10th, 2022
Last updated Oct 11th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184354466 NPPES
Alabama MEDICAID 285948

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