# JAY R. STUCKY, DDS PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750419032
- **Authorized official:** JAY R STUCKY DDS (OWNER)
- **Authorized official phone:** (620) 663-9119

## Contact information

- **Practice address:** 3005 SIERRA PKWY, HUTCHINSON, KS 67502-2972
- **Practice address phone:** (620) 663-2225
- **Mailing address:** 3005 SIERRA PKWY, HUTCHINSON, KS 67502-2972
- **Mailing address phone:** (620) 663-2225

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 6855 | KS | Yes |

## Other

- **Enumeration date:** 03/01/2007
- **Last updated:** 08/22/2020