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Organization

JOHN C. STACEY DDS SC

Active
Other names
Stacey Dental
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN CHARLES STACEY DDS (OWNER)
(608) 222-7511
Entity
Organization

Contact information

Practice address
858 JUPITER DR, MADISON, WI 53718-2946
(608) 222-7511
(608) 222-9900
Mailing address
858 JUPITER DR, MADISON, WI 53718-2946
(608) 222-7511
(608) 222-9900

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
WI

Other

Enumeration date
10/20/2006
Last updated
07/21/2022
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