| Stacey Dental | |
|
858 Jupiter Dr Madison WI 53718-2946 | |
| (608) 222-7511 | |
| (608) 222-9900 |
| Full Name | Stacey Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 858 Jupiter Dr, Madison, Wisconsin |
| Authorized Official Name and Position | John Charles Stacey (OWNER) |
| Authorized Official Contact | 6082227511 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stacey Dental 858 Jupiter Dr Madison WI 53718-2946 Ph: (608) 222-7511 | Stacey Dental 858 Jupiter Dr Madison WI 53718-2946 Ph: (608) 222-7511 |
| NPI Number | 1316029028 |
|---|---|
| Provider Enumeration Date | 10/20/2006 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316029028 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Wisconsin) | Primary |
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