Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KATHLEEN MARIE STACK, RDH, MPH
ActiveDental Hygienist · WILLIMANTIC, CT
Registration Details
- NPI Number
- 1073793675
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 12, 2007 (18.449355561567 yrs)
- Last Updated
- Nov 12, 2007
- License
-
007004 (CT)
Practice Information
- Address
-
1315 MAIN STWILLIMANTIC, CT, 062261948Browse CT providers · Browse ZIP 06226
- Phone
- 8604507456
- Fax
- 8604234629
- Primary Specialty
-
Dental Hygienist
124Q00000X
Other Dental Hygienist Providers in WILLIMANTIC, CT
| Name | Credential | NPI |
|---|---|---|
| DIANE R. D'AMBROSIO | R. D. H. | 1992784227 |
| PAMELA J. YOUNG | R. D. H. | 1093794323 |
| CHERYL A CENIGLIO | RDH | 1932389210 |
| SHERYL FICORILLI | RDH | 1063794808 |
| TRACY M GRATTON | R.D.H. | 1518236975 |
| NICOLE ANN BASHAR | RDH | 1982979258 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.