Provider Demographics
NPI:1821284340
Name:ORGAN, STANLEY ALLAN (DDS)
Entity Type:Individual
Prefix:
First Name:STANLEY
Middle Name:ALLAN
Last Name:ORGAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:699 HAMPSHIRE RD
Mailing Address - Street 2:SUITE #209
Mailing Address - City:WESTLAKE VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91361-2379
Mailing Address - Country:US
Mailing Address - Phone:805-494-4887
Mailing Address - Fax:805-494-4547
Practice Address - Street 1:699 HAMPSHIRE RD
Practice Address - Street 2:SUITE #209
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91361-2379
Practice Address - Country:US
Practice Address - Phone:805-494-4887
Practice Address - Fax:805-494-4547
Is Sole Proprietor?:No
Enumeration Date:2007-09-18
Last Update Date:2009-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20566122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist