Search › Missouri › 122300000X
Jacky Standlee, D.D.S
NPI 1265442107 · on the registry since 2006 · sole proprietor
Practice
- Address
- Westside Dental 994 Diamond Ridge
Ste 202
Jefferson City, MO 65109 - Phone
- (573) 893-4402
- Fax
- (573) 632-4398
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri