Whalio Doctors

NPI 1003483827

Justin Stanford, DMD

Practitioner General Practice Dentistry Batesburg Leesville, SC

Practice location

Address
121 N Pine St, Batesburg Leesville, SC 29006-1974
Phone
(803) 532-6146
Mailing address
121 N Pine St, Batesburg, SC 29006-1974

Registered specialties

General Practice Dentistry Primary
Dental Providers Taxonomy 1223G0001X Licence DGD.9903 (SC)

Registry record

NPI
1003483827
Entity type
Individual
Sex (as registered)
Male
NPI issued
9 Jun 2021
Record last updated
11 Sep 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.