Dr. Justin Keith Stanford
Dentist - General Practice
121 N Pine St
Batesburg Leesville
, South Carolina 29006-1974
Dr. Justin Keith Stanford
Dentist - General Practice
121 N Pine St
Batesburg Leesville
, South Carolina 29006-1974
(480) 438-2655
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About
Features
Specialties
- General Practice
Languages spoken
- English
Location
First Address
- Dr. Justin Keith Stanford
- 129 Madison Park Dr
- Lexington, SC
- Zip : 29072-7912
- Phone : (480) 438-2655
Second Address
- Dr. Justin Keith Stanford
- 121 N Pine St
- Batesburg Leesville, SC
- Zip : 29006-1974
- Phone : (803) 532-6146
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223G0001X | General Practice | DGD.9903 | SC |
| Y | 213EG0000X | General Practice | DGD.9903 | SC |
National Provider Identifier
| NPI | 1003483827 |
|---|---|
| Provider Name | Dr. Justin Keith Stanford |
| First Address | Lexington, SC 29072-7912 |
| Second Address | Batesburg Leesville, SC 29006-1974 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/06/2021 |
| Last Update Date | 09/06/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.