Conn, Stacy Ann

Conn, Stacy Ann is an individual health care provider with primary practice located at 373 Boone Heights Drive , Boone NC 28607. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Conn, Stacy Ann can be contacted via phone (828) 264-0110.

Contact Information

Primary practice address
373 Boone Heights Drive Boone NC 28607
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 5583 North Carolina

Profile Details

NPI number 1598820532
LBN Legal business name Conn, Stacy Ann
Credentials DMDI BOARD CERTIFICA
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2006
Last updated Mar 7th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598820532 NPPES
North Carolina MEDICAID 8991761

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