Provider Demographics
NPI:1780609115
Name:STANCHINA, JAMES ALLAN (DDS)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:ALLAN
Last Name:STANCHINA
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 1:23304 ORCHARD LAKE RD
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48336-3216
Mailing Address - Country:US
Mailing Address - Phone:248-888-7775
Mailing Address - Fax:248-888-7775
Practice Address - Street 1:23304 ORCHARD LAKE RD
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48336-3216
Practice Address - Country:US
Practice Address - Phone:248-888-7775
Practice Address - Fax:248-888-7775
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-13
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010093081223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice