Provider Demographics
NPI:1073513115
Name:MILOBSKY, STANLEY A (DDS)
Entity Type:Individual
Prefix:DR
First Name:STANLEY
Middle Name:A
Last Name:MILOBSKY
Suffix:
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 1:12004 STARVIEW CT
Mailing Address - Street 2:
Mailing Address - City:POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20854-2858
Mailing Address - Country:US
Mailing Address - Phone:301-294-0544
Mailing Address - Fax:301-294-3194
Practice Address - Street 1:5550 FRIENDSHIP BLVD
Practice Address - Street 2:STE 520
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815
Practice Address - Country:US
Practice Address - Phone:301-986-4826
Practice Address - Fax:301-294-3194
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC22751223E0200X
MD38041223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics