STACY LYNN WILCOX (NPI# 1174097695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174097695 |
| Entity Type | Individual |
| Full Name | STACY LYNN WILCOX |
| Credential | RDH, LAP |
| Practice Address |
445 Centennial Ave Butte MT 59701-2870 |
| Mailing Address |
1275 Water Line Rd Butte MT 59701-7024 |
| Practice Telephone | 4064966000 |
| Practice Fax Number | 4064966035 |
| Mailing Telephone | 4064907392 |
| Mailing Fax Number | 4064966035 |
| Enumeration Date | 2019-01-17 |
| Last Update Date | 2020-04-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 5999 | MT | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700150448 | Stacy Lynn Wilcox | Behavioral Analyst | 3337 Melissa Ln, Clarksville, TN 37042-6395 | 2012-02-27 |
| 1396027025 | Stacy L. Wilcox | Counselor | 2150 Lakeside Blvd, Ste 100, Richardson, TX 75082-4302 | 2011-09-20 |
| Street Address |
445 CENTENNIAL AVE |
| City | BUTTE |
| State | MT |
| Zip Code | 59701-2870 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003804998 | Catherine Marie White | Pediatrics | 445 Centennial Ave, Butte, MT 59701-2870 | 2005-10-13 |
| 1932714060 | Emily Root | Social Worker | 445 Centennial Ave, Butte, MT 59701-2870 | 2020-09-15 |
| 1437782810 | Jacob Willis | Nurse Practitioner | 445 Centennial Ave, Butte, MT 59701-2870 | 2020-02-13 |
| 1245872738 | Kathryn M Tabaracci | Physician Assistant | 445 Centennial Ave, Butte, MT 59701-2870 | 2019-10-16 |
| 1548744295 | Richard Mcewen | Physician Assistant | 445 Centennial Ave, Butte, MT 59701-2870 | 2018-09-19 |
| 1417435512 | Amber Rose Pierce | Social Worker | 445 Centennial Ave, Butte, MT 59701-2870 | 2018-07-31 |
| 1447737523 | Emily Yelenich | Nurse Practitioner | 445 Centennial Ave, Butte, MT 59701-2870 | 2018-07-23 |
| 1245729169 | Megan Reid | Nurse Practitioner | 445 Centennial Ave, Butte, MT 59701-2870 | 2018-05-07 |
| 1225527484 | Rachel Rae Davenport | Counselor | 445 Centennial Ave, Butte, MT 59701-2870 | 2018-05-03 |
| 1487155370 | Alicia Lynn Foley | Social Worker | 445 Centennial Ave, Butte, MT 59701-2870 | 2018-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124580147 | Meighan Robbins | Counselor | 3147 Wynne Ave, Butte, MT 59701 | 2019-04-01 |
| 1982174538 | Michael Jon Dahle | Social Worker | 81 W. Park St., Butte, MT 59701 | 2018-11-27 |
| 1023534997 | Kari Williams | Specialist/Technologist | 400 S Clark St., Butte, MT 59701 | 2017-08-22 |
| 1932630191 | Laura Leigh Watson | Social Worker | 3509 Whiteway, Butte, MT 59701 | 2017-03-21 |
| 1386181824 | Charles Raymond Canty | Orthopaedic Surgery | 3441 Quincy St., Butte, MT 59701 | 2017-01-23 |
| 1528500899 | Janette A Reget | Social Worker | 235 S. Crystal St., Butte, MT 59701 | 2016-11-17 |
| 1851761662 | Robin Catherine Becker | Nurse Practitioner | 209 S Montana St Ste B4, Butte, MT 59701 | 2015-10-06 |
| 1336546043 | Sara Rachel Brackett | Reflexologist | 1114 Maryland, Butte, MT 59701 | 2014-11-24 |
| 1548676117 | Laurie Ann Butkay | Technician/Technologist | 3417 Busch, Butte, MT 59701 | 2014-07-03 |
| 1760801930 | Julie Ann Monson | Counselor | 3738 Harrison Ave, Butte, MT 59701 | 2014-04-15 |
| Find all providers in zip 59701 | ||||
| Taxonomy Code | 124Q00000X |
| Grouping | Dental Providers |
| Classification | Dental Hygienist |
| An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487299855 | Into The Groove | Dental Hygienist | 4925 Foothill Rd, Butte, MT 59701-7047 | 2019-11-08 |
| 1326291048 | Tonette Lee Hollingsworth | Dental Hygienist | 503 W Galena St, Butte, MT 59701-1607 | 2008-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538790142 | Melissa Ellen Kjos-peterson | Dental Hygienist | 206 Garland St, Kalispell, MT 59901-2509 | 2020-02-01 |
| 1114557501 | Clancy Ann Casey | Dental Hygienist | 3774 Joelle Dr, Helena, MT 59602-6102 | 2020-01-24 |
| 1598395733 | Carissa Lee-cossel Allen | Dental Hygienist | 465 Taylor Dr, Dillon, MT 59725-7104 | 2020-01-16 |
| 1710538228 | Eric Thomas Hill | Dental Hygienist | 203 Business Center Loop, Kalispell, MT 59901-6885 | 2019-09-25 |
| 1912557653 | Summor Kilgore | Dental Hygienist | 1099 Cowboy Way, Columbia Falls, MT 59912-9068 | 2019-09-15 |
| 1689228090 | Christel Ann Riitano | Dental Hygienist | 702 Harrison Ave, Helena, MT 59601-2615 | 2019-07-25 |
| 1164984399 | Nan'cee Neer-labbe | Dental Hygienist | 14555 Hellgate Lane, Clinton, MT 59825 | 2019-04-05 |
| 1881153286 | Jill Ranae Ferdina | Dental Hygienist | 415 4th Ave S, Wolf Point, MT 59201-1639 | 2019-03-15 |
| 1861958183 | Chanel Plasek | Dental Hygienist | 400 4th Ave W, Poplar, MT 59255-9455 | 2019-02-12 |
| 1164986691 | Orianne Allison | Dental Hygienist | Curry Health Center 634 Eddy Ave, Missoula, MT 59812-0001 | 2019-01-29 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.