Dr. Diane Marie Stacey
D.D.S., M.S. | Pediatric Dentist
390 N Stephanie St, Suite 104, Henderson
Nevada, 89014-8028
702-947-7700 702-932-7700
Maps & DirectionsDr. Diane Marie Stacey is a Henderson, Nevada based Pediatric Dentist who is specialized in
Pediatric Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Diane Marie Stacey is
3083 for Orthodontics and Dentofacial Orthopedics in Nevada. Her current practice location is
390 N Stephanie St, Suite 104, Henderson. Patients can reach her at
702-947-7700.
Dr. Diane Marie Stacey provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Profile:
Dr. Diane Marie Stacey 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. Diane Marie Stacey |
| Specialization: | Pediatric Dentist |
| Gender: | Female |
| Credentials: | D.D.S., M.S. |
| Accepts Medicare Assignment: | No |
| Practice Address: | 390 N Stephanie St, Suite 104, Henderson,
Nevada, 89014-8028 |
| Phone: | 702-947-7700 |
| Fax: | 702-932-7700 |
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: | 1073640991 |
| NPI Enumeration Date: | 27 Feb, 2007 |
| NPI Last Update On: | 16 Dec, 2014 |
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. Diane Marie Stacey are as mentioned below.
| License Number | Specialization | State | Status | |
| 3083 | Orthodontics and Dentofacial Orthopedics | Nevada | Primary | |
| 3083 | Pediatric Dentistry | Nevada | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Diane Marie Stacey such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| S350/S622 | Other | Nevada | SPECIALTY LICENSES |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 390 N Stephanie St, Suite 104
Henderson, Nevada |
| Zip: | 89014-8028 |
| Phone Number: | 702-947-7700 |
| Fax Number: | 702-932-7700 |
Patients can reach Dr. Diane Marie Stacey at
390 N Stephanie St, Suite 104, Henderson, Nevada or can
call to book an appointment on 702-947-7700.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.