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SUSAN STACKER DDS SC
NPI 1497819585
Dentist - Periodontics in Wausau, WI

Active since December 21, 2006
1220 6TH STREET, WAUSAU, WI 54403(715) 845-7759(715) 845-4509 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Susan Stacker Dds Sc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSAN STACKER DDS SC (NPI 1497819585) is a healthcare organization registered as a periodontics in Wausau, Wisconsin and active in the NPI registry since December 2006. The organization lists Susan A Stacker, President, as its authorized official.

NPPES Registry Identity

NPI1497819585
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameSUSAN STACKER DDS SC
Location Address1220 6TH STREETWausau, WI 54403-3550
Mailing Address1220 6th StreetWausau, WI 54403-3550 · (715) 845-7759 · Fax (715) 845-4509
Phone(715) 845-7759
Fax(715) 845-4509
Organization SubpartNo
Authorized OfficialSusan A StackerPresident · (715) 845-7759
Enumeration DateDecember 21, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1497819585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in WI · 4828
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
1220 6TH STREET, Wausau, WI 54403
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Stacker Dds Sc's NPI number?

The NPI number for Susan Stacker Dds Sc is 1497819585. It was assigned to this organization in the NPPES registry on December 21, 2006.

Where is Susan Stacker Dds Sc located?

Susan Stacker Dds Sc is located at 1220 6th Street, Wausau, WI 54403. The listed phone number is (715) 845-7759.

What is Susan Stacker Dds Sc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Susan Stacker Dds Sc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.