Dr. Cassandra Lynne Stacy
D.M.D. | Oral and Maxillofacial Surgeon | 24+ years Exp
2130 Cliff Rd Ste 100, Eagan
Minnesota, 55122-2486
651-452-6933 Maps & DirectionsDr. Cassandra Lynne Stacy is a Eagan, Minnesota based Oral and Maxillofacial Surgeon with
24 years of experience in
Oral and Maxillofacial Surgery. She completed her graduation from
University Of Kentucky College Of Medicine in 2001. She may accept the Medicare-approved amount. Patients may be billed for more than the Medicare deductible and coinsurance. Active license number of Dr. Cassandra Lynne Stacy is
D12052 for Oral and Maxillofacial Surgery in Minnesota. Her current practice location is
2130 Cliff Rd Ste 100, Eagan. Patients can reach her at
651-452-6933.
Dr. Cassandra Lynne Stacy deals with 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.
Complete Profile:
Dr. Cassandra Lynne Stacy 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: | Dr. Cassandra Lynne Stacy |
| Specialization: | Oral and Maxillofacial Surgeon |
| Gender: | Female |
| Credentials: | D.M.D. |
| Experience: | 24+ years |
| Medical School Attended: | University Of Kentucky College Of Medicine |
| Graduation Year: | 2001 |
| Accepts Medicare Assignment: | May Accept |
| Practice Address: | 2130 Cliff Rd Ste 100, Eagan, Minnesota, 55122-2486 |
| Phone: | 651-452-6933 |
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.
| PAC ID: | 9032151816 |
| Enrollment ID: | I20050523001187 |
| NPI Number: | 1033179577 |
| NPI Enumeration Date: | 27 Mar, 2006 |
| NPI Last Update On: | 06 Nov, 2024 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Cassandra Lynne Stacy are as mentioned below.
| License Number | Specialization | State | Status | |
| D12052 | Oral and Maxillofacial Surgery | Minnesota | Primary | |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Cassandra Lynne Stacy is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Dakota Valley Oral And Maxillofacial Surgery Pllc (9436127560) | 6 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Cassandra Lynne Stacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 116645000 | Medicaid | Minnesota | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 2130 Cliff Rd Ste 100, Eagan, Minnesota |
| Zip: | 55122-2486 |
| Phone Number: | 651-452-6933 |
Patients can reach Dr. Cassandra Lynne Stacy at
2130 Cliff Rd Ste 100, Eagan, Minnesota or can
call to book an appointment on 651-452-6933.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.