Delbridge, Stacey L

Delbridge, Stacey L is an individual health care provider with primary practice located at 668 Central Ave Wentworth-Douglass Community Dental Ctr, Dover NH 03820. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Delbridge, Stacey L can be contacted via phone (603) 749-3013.

Contact Information

Primary practice address
668 Central Ave Wentworth-Douglass Community Dental Ctr Dover NH 03820
Fax: (603) 749-2915
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 2604 New Hampshire

Profile Details

NPI number 1114084142
LBN Legal business name Delbridge, Stacey L
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 2nd, 2007
Last updated Jul 9th, 2007 - about 17 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 1114084142 NPPES
New Hampshire MEDICAID 30301944

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