Individual provider · Type 1 NPI

Dominique Olivia Stackhouse

Dentist · Camp Hill, PA

NPI number 1760301907 Active

Practice location

173 S 32nd St
Camp Hill, PA 17011-5102

Mailing address

904 N 3rd St Apt 5
Harrisburg, PA 17102-2054

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XDS045959 (PA)

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 1760301907

Dominique Olivia Stackhouse's National Provider Identifier is 1760301907, issued on Jul 13, 2026. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Camp Hill, PA. The record was last updated on Jul 13, 2026.