Jacy A. Stauffer in Portland - Pediatric Dentistry
Jacy A. Stauffer - NPI 1699974014
Jacy A. Stauffer is a Pediatric Dentistry in Portland, Oregon. Jacy A. Stauffer practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Jacy A. Stauffer is 1699974014. The last update date is 2022-11-10.
Jacy A. Stauffer's current location address is 3181 Sw Sam Jackson Park Rd, Portland, Oregon. You can contact this provider via phone number 5034185799 and fax number 5034184750. The mailing address for Jacy A. Stauffer is 3181 Sw Sam Jackson Park Rd, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacy A. Stauffer |
|---|---|
| Address | 3181 Sw Sam Jackson Park Rd, Portland, Oregon |
| Phone Number | 5034185799 |
| Fax Number | 5034184750 |
| Sole Proprietor | N |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1699974014 |
|---|---|
| Provider Enumeration Date | 2007-07-16 |
| Last Updated Date | 2022-11-10 |
Provider Mailing Address Detail
| Address | 3181 Sw Sam Jackson Park Rd |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972393011 |
| Phone Number | 5034185799 |
| Fax Number | 5034184750 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | LL738 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 119591300 | MD | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Jacy A. Stauffer by the Centers for Medicare & Medicaid Services (CMS)?
The Jacy A. Stauffer has been assigned the NPI (National Provider Identifier) 1699974014. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Jacy A. Stauffer's physical address?
The Jacy A. Stauffer is physically located at 3181 Sw Sam Jackson Park Rd, in the city of Portland, OR, with the postal code 972393011.
What is Jacy A. Stauffer's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jacy A. Stauffer is Pediatric Dentistry, and the taxonomy code that categorizes this field of expertise is 1223P0221X.
On what date did the Centers for Medicare & Medicaid Services issue the 1699974014 to Jacy A. Stauffer?
The Jacy A. Stauffer received its 1699974014 assignment from the Centers for Medicare & Medicaid Services on 2007-07-16.
When was the information regarding Jacy A. Stauffer, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jacy A. Stauffer, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-11-10.
NPI Number: 1588667679
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