Dr. Diane Marie Stacey
Orthodontists Pediatric Dentist
390 N Stephanie St Suite 104
Henderson
, Nevada 89014-8028
Dr. Diane Marie Stacey
Orthodontists Pediatric Dentist
390 N Stephanie St Suite 104
Henderson
, Nevada 89014-8028
(702) 932-7700
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About
Features
Specialties
- Pediatric Dentist
- Orthodontists
Languages spoken
- English
Location
First Address
- Dr. Diane Marie Stacey
- 390 N Stephanie St Suite 104
- Henderson, NV
- Zip : 89014-8028
- Fax : (702) 932-7700
- Phone : (702) 947-7700
Second Address
- Dr. Diane Marie Stacey
- 390 N Stephanie St Suite 104
- Henderson, NV
- Zip : 89014-8028
- Fax : (702) 932-7700
- Phone : (702) 947-7700
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FAQs
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What type of doctor is Dr. Diane Marie Stacey
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Is Dr. Diane Marie Stacey a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 1223P0221X | Pediatric Dentist | 3083 | NV |
| Y | 1223X0400X | Orthodontists | 3083 | NV |
National Provider Identifier
| NPI | 1073640991 |
|---|---|
| Provider Name | Dr. Diane Marie Stacey |
| First Address | Henderson, NV 89014-8028 |
| Second Address | Henderson, NV 89014-8028 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/02/2007 |
| Last Update Date | 16/12/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| S350/S622 | SPECIALTY LICENSES (01) | NV |
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.