Individual
STACEY RAE HANCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSDH, RDH
Contact information
Practice address
574 W SAM RIDLEY PKWY, SMYRNA, TN 37167-5621
(615) 488-1151
Mailing address
4005 CEDAR GLADES DR STE C, MURFREESBORO, TN 37128-3203
(615) 212-2377
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
10516
TN
Other
Enumeration date
08/10/2024
Last updated
04/25/2025
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