Provider Demographics
NPI:1750495487
Name:JAMES L. STANLEY, D.D.S., P.C.
Entity Type:Organization
Organization Name:JAMES L. STANLEY, D.D.S., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:L
Authorized Official - Last Name:STANLEY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:434-385-0273
Mailing Address - Street 1:3712 OLD FOREST RD
Mailing Address - Street 2:BUILDING 100
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24501-6900
Mailing Address - Country:US
Mailing Address - Phone:434-385-0273
Mailing Address - Fax:434-385-6269
Practice Address - Street 1:3712 OLD FOREST RD
Practice Address - Street 2:BUILDING 100
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24501-6900
Practice Address - Country:US
Practice Address - Phone:434-385-0273
Practice Address - Fax:434-385-6269
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04010056411223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA745188OtherUNITED CONCORDIA
VA064425OtherANTHEM