Provider Demographics
NPI:1356328462
Name:MCNEME, STANLEY JOE (DDS)
Entity Type:Individual
Prefix:DR
First Name:STANLEY
Middle Name:JOE
Last Name:MCNEME
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 1:8900 SE 165TH MULBERRY LANE
Mailing Address - Street 2:THE VILLAGES VA OUTPATIENT CLINIC
Mailing Address - City:THE VILLAGES
Mailing Address - State:FL
Mailing Address - Zip Code:32162-5884
Mailing Address - Country:US
Mailing Address - Phone:352-674-5000
Mailing Address - Fax:352-674-5003
Practice Address - Street 1:8900 SE 165TH MULBERRY LANE
Practice Address - Street 2:THE VILLAGES VA OUTPATIENT CLINIC
Practice Address - City:THE VILLAGES
Practice Address - State:FL
Practice Address - Zip Code:32162-5884
Practice Address - Country:US
Practice Address - Phone:352-674-5000
Practice Address - Fax:352-674-5003
Is Sole Proprietor?:No
Enumeration Date:2005-12-29
Last Update Date:2012-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11918122300000X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist