Organization
STACEY KUTSCH, D.D.S., M.S., PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STACEY RAE KUTSCH DDS, MS (OWNER)
(239) 212-1242
Entity
Organization
Contact information
Practice address
5078 POPE JOHN PAUL II BLVD STE 206, AVE MARIA, FL 34142-9528
(239) 212-1242
(239) 212-1410
Mailing address
5078 POPE JOHN PAUL II BLVD STE 206, AVE MARIA, FL 34142-9528
(239) 212-1242
(239) 212-1410
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
01/27/2026
Last updated
01/27/2026
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