Dr. Cassandra Lynne Stacy
Oral and Maxillofacial Surgeon
9950 Valley Creek Rd Suite 100
Woodbury
, Minnesota 55125-4883
Dr. Cassandra Lynne Stacy
Oral and Maxillofacial Surgeon
9950 Valley Creek Rd Suite 100
Woodbury
, Minnesota 55125-4883
(651) 773-9646
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Cassandra Lynne Stacy
- 9950 Valley Creek Rd Suite 100
- Woodbury, MN
- Zip : 55125-4883
- Fax : (651) 773-9646
- Phone : (651) 578-7000
Second Address
- Dr. Cassandra Lynne Stacy
- 9950 Valley Creek Rd Suite 100
- Woodbury, MN
- Zip : 55125-4883
- Fax : (651) 773-9646
- Phone : (651) 578-7000
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FAQs
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Is Dr. Cassandra Lynne Stacy a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | D12052 | MN |
National Provider Identifier
| NPI | 1033179577 |
|---|---|
| Provider Name | Dr. Cassandra Lynne Stacy |
| First Address | Woodbury, MN 55125-4883 |
| Second Address | Woodbury, MN 55125-4883 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/03/2006 |
| Last Update Date | 03/12/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| V04967 | (02) | MN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.