Individual provider · Type 1 NPI
Stacey Lyle Zuck, DMD, MD
Oral and Maxillofacial Surgery (Dentist) · Lawrenceville, GA
NPI number
1699746503
Active
Practice location
945 River Centre Pl, Suite 100
Lawrenceville, GA 30043-7340
Fax (770) 995-7367
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | DN031444 (GA) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Another provider at this address
Other oral and maxillofacial surgery (dentist) providers in Lawrenceville
- Robert E. Ellis, DDSOral and Maxillofacial Surgery (Dentist) Lawrenceville, GA NPI 1053320028
- Sandeep V. Pathak, DMD, MDOral and Maxillofacial Surgery (Dentist) Lawrenceville, GA NPI 1144239203
- Ryan Christopher Busch, DMDOral and Maxillofacial Surgery (Dentist) Lawrenceville, GA NPI 1306469101
- Jess A. Gardner, DMD, MDOral and Maxillofacial Surgery (Dentist) Lawrenceville, GA NPI 1366451403
About NPI 1699746503
Stacey Lyle Zuck, DMD, MD's National Provider Identifier is 1699746503, issued on Jan 30, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Lawrenceville, GA. The record was last updated on Nov 25, 2008.