Audrey Stack, DDS
General Dentistry · Portland, ME
UnclaimedDDSNPI 1134287915
- Primary taxonomy
- 122300000X
- Enumerated
- 2006-12-05
- Practice location
- Portland, ME
- Last NPPES update
- 2007-07-08
State licenses
- ME · Dentist · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.