Provider Demographics
NPI:1891719209
Name:ARMSTRONG, STANLEY DONALD (DMD)
Entity type:Individual
Prefix:DR
First Name:STANLEY
Middle Name:DONALD
Last Name:ARMSTRONG
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 ROCKWOOD ACRES
Mailing Address - Street 2:
Mailing Address - City:RAYMOND
Mailing Address - State:ME
Mailing Address - Zip Code:04071-6360
Mailing Address - Country:US
Mailing Address - Phone:207-655-5265
Mailing Address - Fax:207-893-2897
Practice Address - Street 1:744 ROOSEVELT TRL
Practice Address - Street 2:SUITE #104
Practice Address - City:WINDHAM
Practice Address - State:ME
Practice Address - Zip Code:04062-5282
Practice Address - Country:US
Practice Address - Phone:207-892-8325
Practice Address - Fax:207-893-2897
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME2867122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist