Provider Demographics
NPI:1861078974
Name:DANI STANSELL DDS PA 3
Entity type:Organization
Organization Name:DANI STANSELL DDS PA 3
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANI
Authorized Official - Middle Name:
Authorized Official - Last Name:STANSELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-415-1855
Mailing Address - Street 1:1101 GREAT FALLS CT.
Mailing Address - Street 2:STE 102
Mailing Address - City:KNIGHTDALE
Mailing Address - State:NC
Mailing Address - Zip Code:27545
Mailing Address - Country:US
Mailing Address - Phone:919-415-1855
Mailing Address - Fax:919-415-1849
Practice Address - Street 1:1101 GREAT FALLS CT.
Practice Address - Street 2:STE 102
Practice Address - City:KNIGHTDALE
Practice Address - State:NC
Practice Address - Zip Code:27545
Practice Address - Country:US
Practice Address - Phone:919-415-1855
Practice Address - Fax:919-415-1849
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-19
Last Update Date:2024-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty