Provider Demographics
NPI:1235702416
Name:STONEFIELD, SARAH WHITLEY (DMD)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:WHITLEY
Last Name:STONEFIELD
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:138 MCKENZIE DR
Mailing Address - Street 2:
Mailing Address - City:ELLISVILLE
Mailing Address - State:MS
Mailing Address - Zip Code:39437-8512
Mailing Address - Country:US
Mailing Address - Phone:601-319-5802
Mailing Address - Fax:
Practice Address - Street 1:3720 HARDY ST
Practice Address - Street 2:
Practice Address - City:HATTIESBURG
Practice Address - State:MS
Practice Address - Zip Code:39402-1550
Practice Address - Country:US
Practice Address - Phone:601-620-0637
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-23
Last Update Date:2021-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS4236-211223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice