STACEY L METTY (NPI# 1245610724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245610724 |
Entity Type | Individual |
Full Name | STACEY L METTY |
Credential | DDS |
Practice Address |
8455 Pit Stop Ct Nw Ste 140 Concord NC 28027-8291 |
Practice Telephone | 7044133682 |
Enumeration Date | 2015-06-01 |
Last Update Date | 2018-03-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 122300000X | Dentist | 8539 | SC | Dental Providers |
Y | 1223G0001X |
Dentist Specialization: General Practice |
10782 | NC | Dental Providers |
Address | Telephone Number | Fax Number |
---|---|---|
1005 Tanner Ford Blvd, 102, Hanahan, SC 294104713 | 9196181387 |
Street Address |
8455 PIT STOP CT NW STE 140 |
City | CONCORD |
State | NC |
Zip Code | 28027-8291 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679070759 | Isata Yvonne Panda | Dentist | 8455 Pit Stop Ct Nw Ste 140, Concord, NC 28027-8291 | 2018-04-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023652252 | Medcare Transport of Nc | Non-emergency Medical Transport (VAN) | 7039 Northwinds Dr Nw, Unit C, Concord, NC 28027 | 2019-10-31 |
1538718770 | Carolyn Ann Broadnax | Technician | 3524 Cedar Springs Dr, Concord, NC 28027 | 2019-09-10 |
1447806575 | Claire-ann E Papp | Dentist | 8815 Christenbury Parkway, Suite 40, Concord, NC 28027 | 2019-08-14 |
1578120218 | Philip Osborn | Dentist | 5408 Nc-49, Harrisburg, NC 28027 | 2019-05-28 |
1639648306 | Kristen Morris Spell | Counselor | 195 Lower Cape Dr Sw Apt 107, Concord, NC 28027 | 2018-11-25 |
1568959625 | Laurie Ford | Counselor | 705 Samuel Adams Cir Sw, Concord, NC 28027 | 2018-04-15 |
1598278194 | Autumn Nobles | Specialist/Technologist | 10193 Falling Leaf Dr Nw, Concord, NC 28027 | 2017-11-06 |
1386192938 | Brundasudha Satti IIi | Physical Therapist | 379 Sutoforest Dr Nw, Concord, NC 28027 | 2016-09-12 |
1467809616 | Kathryn Teal Watts | Dentist | 5305345 Vining St Nw, #201, Concord, NC 28027 | 2016-05-18 |
1720443849 | Denette Carte | Health Educator | 9712 Ravenscroft Lane Nw, Concord, NC 28027 | 2015-12-16 |
Find all providers in zip 28027 |
Taxonomy Code | 1223G0001X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | General Practice |
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
Notes: Source: Academy of General Dentistry |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922622968 | Jeremy Ken Anderson | Dentist | 9 Triangle Park Dr Ste 3, Concord, NH 03301-5790 | 2020-06-05 |
1932729688 | O'brien and West Dmd, Ix, Pllc | Dentist | 40 Pitts School Rd Sw, Concord, NC 28027-2761 | 2020-04-23 |
1427698877 | Colin S. Ilas D.d.s. | Dentist | 2030 Diamond Blvd Ste 25, Concord, CA 94520-5753 | 2020-01-14 |
1396383345 | Isioma A Okonmah, D.d.s., M.p.h., P.a. Concord | Dentist | 538 Lake Concord Rd Ne, Concord, NC 28025-2926 | 2019-12-19 |
1740758044 | Armentha Prosper-chicas | Dentist | 8525 Pit Stop Ct Nw Ste A, Concord, NC 28027-8338 | 2018-11-05 |
1679065015 | Brian Patrick Ganley | Dentist | 290 Baker Ave Ste N224, Concord, MA 01742-2192 | 2018-06-01 |
1659899094 | Sachin Patel, D.d.s., A Professional Dental Corporation | Dentist | 2975 Treat Blvd Ste E2, Concord, CA 94518-3699 | 2017-09-06 |
1386173078 | Christina Marie Mccann | Dentist | 9 Triangle Park Dr Ste 9, Concord, NH 03301-5790 | 2017-06-07 |
1821520727 | Julie Haejung Chang | Dentist | 273 Loudon Rd, Concord, NH 03301 | 2017-03-30 |
1295196731 | John Edward Kempter Dds Pllc | Dentist | 1000 Copperfield Blvd Ne Ste 154, Concord, NC 28025-2454 | 2016-03-11 |
Find all providers in CONCORD |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.