Individual
DR. DOUGLAS A. STUCKEY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6865 FAIRVIEW RD, SUITE A, CHARLOTTE, NC 28210-2700
(704) 364-9686
Mailing address
6865 FAIRVIEW RD, SUITE A, CHARLOTTE, NC 28210-2700
(704) 364-9686
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
NC5980
NC
Other
Enumeration date
05/10/2006
Last updated
07/08/2007
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