DR. Stanley R Waddell, D.D.S.
NPI #1396756508 in Germantown, Tennessee
Provider Information
- NPI Number
- 1396756508
- Entity Type
- Individual
- Name
- DR. Stanley R Waddell, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- Aug 11, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1900 KIRBY PKWY
- Address 2
- SUITE200
- City
- Germantown
- State
- Tennessee
- ZIP Code
- 38138-3610
- Phone
- (901) 756-8855
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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