Dean, Stacy Marie
Dean, Stacy Marie is an sole proprietor health care provider with primary practice located at 125 N Franklin Dr Suite 5, Washington PA 15301-5892. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Dean, Stacy Marie can be contacted via phone (724) 222-2256.Contact Information
Primary practice address
125 N Franklin Dr Suite 5
Washington PA 15301-5892
Phone: (724) 222-2256
Fax: (724) 222-9384
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 3663 | West Virginia |
| Dental Providers / General Practice | 1223G0001X | 30.021901 | Ohio |
| Dental Providers / General Practice | 1223G0001X | DS037786 | Pennsylvania |
Profile Details
| NPI number | 1740313105 |
|---|---|
| LBN Legal business name | Dean, Stacy Marie |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 14th, 2007 |
| Last updated | Oct 22nd, 2012 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740313105 | NPPES |
| West Virginia | MEDICAID | 0136695000 |
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