DR. Stefan Shane Hacker, DDS

NPI #1114916244 in Jay, Oklahoma

Provider Information

NPI Number: 1114916244
Entity Type: Individual
Name: DR. Stefan Shane Hacker, DDS
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Oct 20, 2005
Last Updated: May 19, 2016

Practice Location

Address: 1015 W WASHBOURNE ST
City: Jay
State: Oklahoma
ZIP Code: 74346-4205
Phone: (918) 253-8696

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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