Prince, Stanley M

Prince, Stanley M is an individual health care provider with primary practice located at 124A Andrews Way , Saint Marys GA 31558-9109. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Prince, Stanley M can be contacted via phone (912) 882-4274.

Contact Information

Primary practice address
124A Andrews Way Saint Marys GA 31558-9109
Phone: (912) 882-4274
Fax: (912) 673-1311
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 011016 Georgia

Profile Details

NPI number 1174628168
LBN Legal business name Prince, Stanley M
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2006
Last updated Nov 19th, 2014 - about 12 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 1174628168 NPPES
Georgia MEDICAID 462151A
Georgia Other 164676

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