DR. STACEY JILL LUBETSKY D.M.D. NPI 1285785626

NPI Information

NPI: 1285785626
Provider Name: DR. STACEY JILL LUBETSKY, D.M.D.
Classification: Dentist - 1223P0221X
Entity Type: Individual

Specialization: Pediatric Dentistry

PECOS Registration: Yes

Address:
4800 LAKEWOOD RANCH BLVD
BRADENTON, FL
ZIP 34211
Phone: (941) 405-1553
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DR. Stacey Jill Lubetsky, D.M.D. is a pediatric dentistry dentist in Bradenton, FL. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. DR. Stacey Jill Lubetsky, D.M.D. NPI is 1285785626. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4800 LAKEWOOD RANCH BLVD
BRADENTON, FL
ZIP 34211-953
Phone: (941) 405-1553

The NPI 1285785626 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 1/14/2007 and was last updated on 3/10/2020.

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	1223P0221X	Dentist	Pediatric Dentistry	050066	NEW YORK	No
2	1223P0221X	Dentist	Pediatric Dentistry	22DI02284400	NEW JERSEY	No
3	1223P0221X	Dentist	Pediatric Dentistry	DTP663	FLORIDA	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

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