Organization
TIMOTHY F. STACEY, DDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY STACEY DDS (OWNER)
(719) 599-0949
Entity
Organization
Contact information
Practice address
1975 RESEARCH PKWY STE 302, COLORADO SPRINGS, CO 80920-1055
(719) 599-0949
(719) 599-0703
Mailing address
1975 RESEARCH PKWY STE 302, COLORADO SPRINGS, CO 80920-1055
(719) 599-0949
(719) 599-0703
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/01/2021
Last updated
03/22/2022
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