Individual provider · Type 1 NPI

Corey Mark Stanley, DDS

Dentist · Travis Afb, CA

NPI number 1881696458 Active

Practice location

60 Mdg/sgic, 101 Bodin Cir
Travis Afb, CA 94535

Call (707) 423-7008 Map

Mailing address

101 Bodin Cir
Travis Afb, CA 94535-1809

Specialties and licenses

TaxonomyCodeLicense
Periodontics 1223P0300XD-4796-PE (ID)
Dentist Primary 122300000XDE7342 (WA)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1881696458

Corey Mark Stanley, DDS's National Provider Identifier is 1881696458, issued on Aug 12, 2005. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Travis Afb, CA. The record was last updated on May 8, 2019.