Individual
DR. MATTHEW WARD STACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
417 BILTMORE AVE, 2-C DOCTORS PARK, ASHEVILLE, NC 28801-4543
(828) 252-3591
(828) 252-7591
Mailing address
1200 CENTRE PARK DR, STE 100, ASHEVILLE, NC 28805-6108
(828) 252-3591
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7182
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89902EK
—
NC
Enumeration date
07/26/2006
Last updated
03/09/2016
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