NPI 1083884233

Terry Stubblefield, DMD

Practitioner Dentist Olive Branch, MS

Practice location

Address: 8935 Goodman Rd, Olive Branch, MS 38654-2201
Phone: (662) 895-5012
Fax: (662) 895-4616

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 279894 (MS)

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Registry record

NPI: 1083884233
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Mar 2008
Record last updated: 4 Mar 2008

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.