Organization
JAY R. STUCKY, DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY R STUCKY DDS (OWNER)
(620) 663-9119
Entity
Organization
Contact information
Practice address
3005 SIERRA PKWY, HUTCHINSON, KS 67502-2972
(620) 663-2225
Mailing address
3005 SIERRA PKWY, HUTCHINSON, KS 67502-2972
(620) 663-2225
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6855
KS
Other
Enumeration date
03/01/2007
Last updated
08/22/2020
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