Provider Demographics
NPI:1396705026
Name:SWEET, STANLEY K (DDS)
Entity type:Individual
Prefix:DR
First Name:STANLEY
Middle Name:K
Last Name:SWEET
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 1:141 W NAVAJO DR
Mailing Address - Street 2:
Mailing Address - City:PRESCOTT
Mailing Address - State:AZ
Mailing Address - Zip Code:86301-2589
Mailing Address - Country:US
Mailing Address - Phone:928-445-6145
Mailing Address - Fax:928-445-0585
Practice Address - Street 1:141 W NAVAJO DR
Practice Address - Street 2:
Practice Address - City:PRESCOTT
Practice Address - State:AZ
Practice Address - Zip Code:86301-2589
Practice Address - Country:US
Practice Address - Phone:928-445-6145
Practice Address - Fax:928-445-0585
Is Sole Proprietor?:No
Enumeration Date:2006-03-25
Last Update Date:2008-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAZ 2601122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist