Individual provider · Type 1 NPI

Thora Jane Stacy, CDA EFDA

Dental Assistant · Salem, OR

NPI number 1245590553 Active

Practice location

2300 N.e. Lacncaster Dr.
Salem, OR 97303

Call (503) 370-4313 Map

Mailing address

4255 Cordon Rd NE
Salem, OR 97305-3738

Specialties and licenses

Taxonomy	Code	License
Dental Assistant Primary	126800000X	None listed

Dental Assistant: An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the d…

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About NPI 1245590553

Thora Jane Stacy, CDA EFDA's National Provider Identifier is 1245590553, issued on May 21, 2012. The primary taxonomy on file is Dental Assistant (126800000X), and the practice location is in Salem, OR. The record was last updated on May 21, 2012.