Individual provider · Type 1 NPI

Stacey Thao Detvo, DMD

General Practice Dentistry · Forney, TX

NPI number 1891535407 Active

Practice location

101 N FM 548 Ste 105
Forney, TX 75126-5686

Mailing address

707 Skyler St
Lantana, TX 76226-6500

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X40876 (TX)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1891535407

Stacey Thao Detvo, DMD's National Provider Identifier is 1891535407, issued on May 30, 2024. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Forney, TX. The record was last updated on Aug 9, 2024.