Audrey Stack is a Portland, Maine based Dentist who is specialized in Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Audrey Stack is 3585 for Dentistry in Maine. Her current practice location is 276 Canco Rd, Portland. Patients can reach her at 207-874-1025.
Audrey Stack is the primary dental care provider for patients of all ages. She is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Audrey Stack speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Audrey Stack
Specialization:
Dentist
Gender:
Female
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
276 Canco Rd, Portland, Maine, 04103-4351
Phone:
207-874-1025
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1134287915
NPI Enumeration Date:
05 Dec, 2006
NPI Last Update On:
08 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Audrey Stack are as mentioned below.
License Number
Specialization
State
Status
3585
Dentistry
Maine
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Audrey Stack such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
295140099
Medicaid
Maine
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
276 Canco Rd, Portland, Maine
Zip:
04103-4351
Phone Number:
207-874-1025
Patients can reach Audrey Stack at 276 Canco Rd, Portland, Maine or can call to book an appointment on 207-874-1025. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.