Love, Stacy

Love, Stacy is an individual health care provider with primary practice located at 600 W 3Rd St , Mansfield OH 44906-2633. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Love, Stacy can be contacted via phone (419) 526-7870.

Contact Information

Primary practice address
600 W 3Rd St Mansfield OH 44906-2633
Phone: (419) 526-7870
Fax: (419) 526-4911
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 30022172 Ohio

Profile Details

NPI number 1396716932
LBN Legal business name Love, Stacy
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2006
Last updated Jul 29th, 2010 - about 15 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 1396716932 NPPES
Ohio MEDICAID 2570016

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