Individual provider · Type 1 NPI

Stefan Shane Hacker, DDS

Dentist · Jay, OK

NPI number 1114916244 Active

Practice location

1015 W Washbourne St
Jay, OK 74346-4205

Call (918) 253-8696 Map

Mailing address

200 E 3rd St
Grove, OK 74344-7006

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X5354 (OK)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1114916244

Stefan Shane Hacker, DDS's National Provider Identifier is 1114916244, issued on Oct 20, 2005. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Jay, OK. The record was last updated on Jul 13, 2026.