Susan Stacker Dds Sc in Wausau - Periodontics
Susan Stacker Dds Sc - NPI 1497819585
Susan Stacker Dds Sc is a Periodontics in Wausau, Wisconsin. Susan Stacker Dds Sc practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Susan Stacker Dds Sc is 1497819585. The last update date is 2020-08-22.
Susan Stacker Dds Sc's current location address is 1220 6th Street, Wausau, Wisconsin. You can contact this provider via phone number 7158457759 and fax number 7158454509. The mailing address for Susan Stacker Dds Sc is 1220 6th Street, Wausau, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Susan Stacker Dds Sc |
|---|---|
| Address | 1220 6th Street, Wausau, Wisconsin |
| Phone Number | 7158457759 |
| Fax Number | 7158454509 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Stacker A Susan |
| Credentials | DDS |
| Telephone Number | 7158457759 |
NPI Number Detail
| NPI Number | 1497819585 |
|---|---|
| Provider Enumeration Date | 2006-12-21 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1220 6th Street |
|---|---|
| City | Wausau |
| State | Wisconsin (WI) |
| Post Code | 544033550 |
| Phone Number | 7158457759 |
| Fax Number | 7158454509 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 4828 |
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Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Susan Stacker Dds Sc by the Centers for Medicare & Medicaid Services?
The Susan Stacker Dds Sc has been issued the NPI (National Provider Identifier) 1497819585 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Susan Stacker Dds Sc's physical address?
The Susan Stacker Dds Sc is physically located at 1220 6Th Street, in the city of Wausau, WI, with the postal code 544033550.
What is Susan Stacker Dds Sc's area of expertise and its corresponding taxonomy classification?
The Susan Stacker Dds Sc's field of specialization is Periodontics, and it falls under the taxonomy code 1223P0300X, which categorizes healthcare providers based on their areas of practice.
When was the Susan Stacker Dds Sc's 1497819585 issued?
The Susan Stacker Dds Sc's 1497819585 was issued on 2006-12-21.
As of what date was the information pertaining to Susan Stacker Dds Sc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Susan Stacker Dds Sc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.