Provider Demographics
NPI:1821425307
Name:THE POPE STANLEY GROUP, P.C.
Entity Type:Organization
Organization Name:THE POPE STANLEY GROUP, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:KERI
Authorized Official - Middle Name:POPE
Authorized Official - Last Name:STANLEY
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:205-908-8516
Mailing Address - Street 1:126 ACADEMY DR
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:36037-3700
Mailing Address - Country:US
Mailing Address - Phone:334-382-2121
Mailing Address - Fax:334-371-0247
Practice Address - Street 1:126 ACADEMY DR
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:AL
Practice Address - Zip Code:36037-3700
Practice Address - Country:US
Practice Address - Phone:334-382-2121
Practice Address - Fax:334-382-0247
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-30
Last Update Date:2016-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL55931223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty