DR. STACEY LYLE ZUCK D.M.D. M.D. NPI 1699746503

NPI Information

NPI: 1699746503
Provider Name: DR. STACEY LYLE ZUCK, D.M.D., M.D.
Classification: Dentist - 1223S0112X
Entity Type: Individual

Specialization: Oral and Maxillofacial Surgery

Address:
945 RIVER CENTRE PL
SUITE 100
LAWRENCEVILLE, GA
ZIP 30043
Phone: (770) 995-7960
Get Directions

DR. Stacey Lyle Zuck, D.M.D., M.D. is an oral and maxillofacial surgery dentist in Lawrenceville, GA. The provider is the specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DR. Stacey Lyle Zuck, D.M.D., M.D. NPI is 1699746503. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

945 RIVER CENTRE PL
SUITE 100
LAWRENCEVILLE, GA
ZIP 30043-340
Phone: (770) 995-7960
Fax: (770) 995-7367

The enumeration date for this NPI number is 1/30/2006 and was last updated on 11/25/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223S0112X	Dentist	Oral and Maxillofacial Surgery	DN031444	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »