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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JACK RYAN STALKER, D.D.S., M.S.

Active Sole Proprietor

DR. JACK RYAN STALKER, D.D.S., M.S. is a Pediatric Dentistry healthcare provider located in HENDERSONVILLE, Tennessee. NPI 1598958100 is currently active in the NPPES registry. Verify at CMS.

Pediatric Dentistry · HENDERSONVILLE, TN

Registration Details

NPI Number
1598958100
Provider Type
Individual
Gender
Male
NPI Issued
Aug 27, 2007 (18.935306120189 yrs)
Last Updated
Nov 29, 2010
License
9204 (TN)
Sole Proprietor
Yes

Practice Information

Address
131 INDIAN LAKE RD
SUITE 101
HENDERSONVILLE, TN, 370753866
Browse TN providers · Browse ZIP 37075
Phone
6158241700
Fax
6158622266
Primary Specialty
Pediatric Dentistry
1223P0221X

Other Pediatric Dentistry Providers in HENDERSONVILLE, TN

Name Credential NPI
FRANKLIN WILLIAM TAYLOR DDS 1528057718
DR. ANGELA LYNNE TEMPLETON DDS 1306914254
BRETT HOUSTON HENDERSON D.M.D., M.S.D. 1164894044
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.