Lubetsky, Stacey Jill

Lubetsky, Stacey Jill is an individual health care provider with primary practice located at 4800 Lakewood Ranch Blvd , Bradenton FL 34211-4953. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Lubetsky, Stacey Jill can be contacted via phone (941) 405-1553.

Contact Information

Primary practice address
4800 Lakewood Ranch Blvd Bradenton FL 34211-4953
Phone: (941) 405-1553
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 050066 New York
Dental Providers / Pediatric Dentistry 1223P0221X 22DI02284400 New Jersey
Dental Providers / Pediatric Dentistry 1223P0221X DTP663 Florida

Profile Details

NPI number 1285785626
LBN Legal business name Lubetsky, Stacey Jill
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 14th, 2007
Last updated Mar 10th, 2020 - about 5 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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