Provider Demographics
NPI:1649000944
Name:OLMSTEAD & STANBERY DENTAL PARTNERS
Entity type:Organization
Organization Name:OLMSTEAD & STANBERY DENTAL PARTNERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:R
Authorized Official - Last Name:OLMSTEAD
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:423-715-2758
Mailing Address - Street 1:413 BERYWOOD TRL NW
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:TN
Mailing Address - Zip Code:37312-5285
Mailing Address - Country:US
Mailing Address - Phone:423-478-3756
Mailing Address - Fax:
Practice Address - Street 1:413 BERYWOOD TRL NW
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:TN
Practice Address - Zip Code:37312-5285
Practice Address - Country:US
Practice Address - Phone:423-478-3756
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-02
Last Update Date:2024-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental