Provider Demographics
NPI:1407948912
Name:STILES, DANA D (MD)
Entity Type:Individual
Prefix:
First Name:DANA
Middle Name:D
Last Name:STILES
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:284 EXECUTIVE PARK DR
Mailing Address - Street 2:STE 100
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28025-1833
Mailing Address - Country:US
Mailing Address - Phone:704-939-1100
Mailing Address - Fax:704-939-1173
Practice Address - Street 1:232 NEWSOME RD
Practice Address - Street 2:
Practice Address - City:KING
Practice Address - State:NC
Practice Address - Zip Code:27021-8507
Practice Address - Country:US
Practice Address - Phone:336-983-0941
Practice Address - Fax:336-983-0958
Is Sole Proprietor?:No
Enumeration Date:2006-09-29
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC97016052084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1257POtherBCBS
NC1407948912OtherHUMANA
NC1407948912OtherUNITED BEHAVIORAL HEALTH
NC601036-575OtherMAGELLAN
NCNCP565AOtherMEDICARE
NC891257PMedicaid
NC891257PMedicaid