Tracy, Stacy

Tracy, Stacy is an individual health care provider with primary practice located at 1712 E Guadalupe Rd Suite 109, Tempe AZ 85283-3983. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Tracy, Stacy can be contacted via phone (480) 829-8200.

Contact Information

Primary practice address
1712 E Guadalupe Rd Suite 109 Tempe AZ 85283-3983
Phone: (480) 829-8200
Fax: (480) 967-5252
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 4478 Arizona

Profile Details

NPI number 1689631160
LBN Legal business name Tracy, Stacy
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated Apr 26th, 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.

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