Provider Demographics
NPI:1033329552
Name:DEMSKI, STANLEY LAWRENCE III (DDS)
Entity Type:Individual
Prefix:DR
First Name:STANLEY
Middle Name:LAWRENCE
Last Name:DEMSKI
Suffix:III
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1108 W TOKAY ST
Mailing Address - Street 2:
Mailing Address - City:LODI
Mailing Address - State:CA
Mailing Address - Zip Code:95240-3836
Mailing Address - Country:US
Mailing Address - Phone:209-368-5365
Mailing Address - Fax:209-368-0758
Practice Address - Street 1:1108 W TOKAY ST
Practice Address - Street 2:
Practice Address - City:LODI
Practice Address - State:CA
Practice Address - Zip Code:95240-3836
Practice Address - Country:US
Practice Address - Phone:209-368-5365
Practice Address - Fax:209-368-0758
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA44162122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist