DR. JACKY STANDLEE, D.D.S.

Dentist

Active Individual
NPI: 1265442107

Practice Address

WESTSIDE DENTAL 994 DIAMOND RIDGE
STE 202
Jefferson City, MO 65109

Phone: (573) 893-4402

Specialties

Specialty Code Primary License
Dentist 122300000X Yes 014960 (MO)

Frequently Asked Questions

NPI 1265442107 is the National Provider Identifier for DR. JACKY STANDLEE, D.D.S., a Dentist provider located in Jefferson City, MO. This NPI was enumerated on August 9, 2006.
DR. JACKY STANDLEE, D.D.S. practices at WESTSIDE DENTAL 994 DIAMOND RIDGE, STE 202, Jefferson City, MO 65109.

Quick Facts

NPI
1265442107
Type
Individual
Enumerated
Aug 9, 2006
Last Updated
Jul 8, 2007

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