Individual provider · Type 1 NPI

Stacy Haddock

Dental Hygienist · Beloit, WI

NPI number 1043637705 Active

Practice location

690 3rd St Ste 200
Beloit, WI 53511-6214

Specialties and licenses

Taxonomy	Code	License
Dental Hygienist Primary	124Q00000X	10927-16 (WI)

Dental Hygienist: An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and…

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About NPI 1043637705

Stacy Haddock's National Provider Identifier is 1043637705, issued on Mar 19, 2014. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Beloit, WI. The record was last updated on Mar 19, 2014.