Provider Demographics
NPI:1629659628
Name:STANLEY T DORROW DDS
Entity Type:Organization
Organization Name:STANLEY T DORROW DDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:STANLEY
Authorized Official - Middle Name:T
Authorized Official - Last Name:DORROW
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:410-654-0052
Mailing Address - Street 1:4000 OLD COURT RD STE 302
Mailing Address - Street 2:
Mailing Address - City:PIKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-6418
Mailing Address - Country:US
Mailing Address - Phone:410-654-0052
Mailing Address - Fax:410-484-9761
Practice Address - Street 1:4000 OLD COURT RD STE 302
Practice Address - Street 2:
Practice Address - City:PIKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21208-6418
Practice Address - Country:US
Practice Address - Phone:410-654-0052
Practice Address - Fax:410-484-9761
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-20
Last Update Date:2021-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized EquipmentGroup - Single Specialty
No122300000XDental ProvidersDentistGroup - Single Specialty
No1223X2210XDental ProvidersDentistOrofacial PainGroup - Single Specialty