Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. STACEY LYLE ZUCK, D.M.D., M.D.
ActiveDR. STACEY LYLE ZUCK, D.M.D., M.D. is a Oral & Maxillofacial Surgery healthcare provider located in LAWRENCEVILLE, Georgia. NPI 1699746503 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · LAWRENCEVILLE, GA
Registration Details
- NPI Number
- 1699746503
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 30, 2006 (20.495165535794 yrs)
- Last Updated
- Nov 25, 2008
- License
-
DN031444 (GA)
Practice Information
- Address
-
945 RIVER CENTRE PLSUITE 100LAWRENCEVILLE, GA, 300437340Browse GA providers · Browse ZIP 30043
- Phone
- 7709957960
- Fax
- 7709957367
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
Other Oral & Maxillofacial Surgery Providers in LAWRENCEVILLE, GA
| Name | Credential | NPI |
|---|---|---|
| DR. ROBERT E ELLIS | DDS | 1053320028 |
| DR. JESS A GARDNER | DMD, MD | 1366451403 |
| DR. SANDEEP V PATHAK | DMD, MD | 1144239203 |
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.