Provider Demographics
NPI:1548595531
Name:STANLEY-MANN PROFESSIONAL ASSOCIATION
Entity Type:Organization
Organization Name:STANLEY-MANN PROFESSIONAL ASSOCIATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:J
Authorized Official - Last Name:STANLEY
Authorized Official - Suffix:II
Authorized Official - Credentials:DDS
Authorized Official - Phone:919-460-9665
Mailing Address - Street 1:3731 NW CARY PKWY
Mailing Address - Street 2:SUITE 201
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27513-8436
Mailing Address - Country:US
Mailing Address - Phone:919-460-9665
Mailing Address - Fax:919-460-0690
Practice Address - Street 1:7252 GB ALFORD HWY
Practice Address - Street 2:
Practice Address - City:HOLLY SPRINGS
Practice Address - State:NC
Practice Address - Zip Code:27540-7661
Practice Address - Country:US
Practice Address - Phone:919-460-9665
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-08
Last Update Date:2009-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty