DR. Michael John Stacey, D.D.S.

NPI #1942204524 in Bunkie, Louisiana

Provider Information

NPI Number: 1942204524
Entity Type: Individual
Name: DR. Michael John Stacey, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Jun 10, 2005
Last Updated: Nov 22, 2011

Practice Location

Address: 921 SHIRLEY RD
City: Bunkie
State: Louisiana
ZIP Code: 71322-1542
Phone: (318) 346-6668

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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