Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STACY EDEN, DDS
ActiveSTACY EDEN, DDS is a Dentist healthcare provider located in TIGARD, Oregon. NPI 1114248085 is currently active in the NPPES registry. Verify at CMS.
Dentist · TIGARD, OR
Registration Details
- NPI Number
- 1114248085
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 15, 2010 (16.130723971702 yrs)
- Last Updated
- Jun 11, 2020
- License
-
D10481 (OR)
Practice Information
- Address
-
11820 SW KING JAMES PLJ10TIGARD, OR, 972242480Browse OR providers · Browse ZIP 97224
- Phone
- 5036165000
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in TIGARD, OR
| Name | Credential | NPI |
|---|---|---|
| DR. RICHARD L JOHNSON | DMD PC | 1710973151 |
| DR. SCOTT T SIMPSON | DMD | 1396766036 |
| DR. JAMES MARSDEN HESLA | D.M.D. | 1891717237 |
| ROD JOHNSON | DMD | 1134143076 |
| DR. MICHAEL GRISHMAN | D.D.S. | 1558385781 |
| DR. MAHMOUD MAGHSOUDLOU | DMD | 1871602417 |
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.