Provider Demographics
NPI:1730297243
Name:STELLY, JULIE ANN (DDS)
Entity Type:Individual
Prefix:MISS
First Name:JULIE
Middle Name:ANN
Last Name:STELLY
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:JULIE
Other - Middle Name:H
Other - Last Name:STELLY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:5800 COIT RD STE 700
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75023
Mailing Address - Country:US
Mailing Address - Phone:972-867-2500
Mailing Address - Fax:469-241-9465
Practice Address - Street 1:5800 COIT RD STE 700
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75023
Practice Address - Country:US
Practice Address - Phone:972-867-2500
Practice Address - Fax:469-241-9465
Is Sole Proprietor?:No
Enumeration Date:2006-08-25
Last Update Date:2016-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX155411223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice