DR. STACY ANN CONN DMDI BOARD CERTIFICA NPI 1598820532

NPI Information

  • NPI: 1598820532
  • Provider Name: DR. STACY ANN CONN, DMDI BOARD CERTIFICA
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Individual
  • Address: 373 BOONE HEIGHTS DRIVE
    BOONE, NC
    ZIP 28607
  • Phone: (828) 264-0110

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NPI Details

DR. Stacy Ann Conn, DMDI BOARD CERTIFICA is a pediatric dentistry dentist in Boone, NC. 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. Stacy Ann Conn, DMDI BOARD CERTIFICA NPI is 1598820532. 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:

373 BOONE HEIGHTS DRIVE
BOONE, NC
ZIP 28607
Phone: (828) 264-0110

The enumeration date for this NPI number is 12/27/2006 and was last updated on 3/7/2023.

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
11223P0221XDentistPediatric Dentistry5583NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
18991761MEDICAIDNORTH CAROLINA

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: 11/21/2025

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