DR. STACY I. WEEDON (NPI# 1851392633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851392633 |
Entity Type | Individual |
Full Name | DR. STACY I. WEEDON |
Credential | DDS |
Practice Address |
720 Route 202-206 N Green Knoll Prof'l Park Building 2 Bridgewater NJ 08807 |
Practice Telephone | 9087071133 |
Practice Fax Number | 9087074665 |
Mailing Telephone | 9087071133 |
Mailing Fax Number | 9087074665 |
Enumeration Date | 2005-08-03 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
22DI01796000 | NJ | Dental Providers |
Street Address |
720 ROUTE 202-206 N GREEN KNOLL PROF'L PARK BUILDING 2 |
City | BRIDGEWATER |
State | NJ |
Zip Code | 08807 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801403175 | Visions and Pathways | Counselor | 49 Brahma Avenue, Bridgewater, NJ 08807 | 2020-09-30 |
1689215600 | An Angel At Hand Inc. | Case Manager/Care Coordinator | 1200 Us Highway 22 East Suite 2000, Bridgewater, NJ 08807 | 2019-10-01 |
1407407877 | Advanced Dental Care At Bridgewater LLC | Clinic/Center | 678 Us 206 Building 5 Unit 8, Bridgewater, NJ 08807 | 2019-09-26 |
1619525201 | Marian Basaly | Pharmacist | 353 Us-202 #206, Bridgewater Township, NJ 08807 | 2019-08-28 |
1316509169 | Ashtin Elizabeth Helmer | Physician Assistant | 766 Us-206, Bridgewater Township, NJ 08807 | 2019-07-02 |
1770142770 | Lisa Farrington-rankins | Case Manager/Care Coordinator | 1200 Us Highway 22 Ste 2000, Bridgewater, NJ 08807 | 2019-06-12 |
1841753506 | Nj Support Services, LLC | Community/Behavioral Health | 726 Route 202 South, Suite 320-107, Bridgewater, NJ 08807 | 2019-04-10 |
1518434562 | Alyssa Olsen | Occupational Therapist | 377 Union Avenue, Bridgwater, NJ 08807 | 2018-10-29 |
1689151136 | Ask Transportation Services LLC | Non-emergency Medical Transport (VAN) | 991 Highway 22, Suite 200, Bridgewater, NJ 08807 | 2018-07-26 |
1114427069 | Jamie On Optometry LLC | Optometrist | Lenscrafters At Macys, 400 Commons Way, Bridgewater, NJ 08807 | 2018-02-16 |
Find all providers in zip 08807 |
Taxonomy Code | 1223P0221X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Pediatric Dentistry |
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003272006 | Pediatric Dental Center of Mansfield | Dentist | 1029 Pleasant St, Suite 103, Bridgewater, MA 02324-2301 | 2016-01-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508481565 | Kids First Pediatric Dentistry LLC | Dentist | 740 Marne Hwy Ste 103, Moorestown, NJ 08057-3126 | 2020-06-15 |
1568008340 | Twinkle Little Star Pediatric Dentistry, LLC | Dentist | 259 Kinderkamack Road, Westwood, NJ 07675 | 2019-11-27 |
1558831370 | Amazing Smiles Dentistry for Children, Pa | Dentist | 160 Mountain Ave Ste 101, Hackettstown, NJ 07840-2324 | 2018-12-05 |
1063915403 | Singh and Smile Pediatric Dentistry | Dentist | 180 South St Ste 104, New Providence, NJ 07974-1991 | 2018-03-12 |
1790285450 | Bright Smiles of Burlington County | Dentist | 693 Main Street, Building B Suite 1, Lumberton, NJ 08048 | 2018-02-19 |
1972026144 | Otto M Choi Dds, PC | Dentist | 345 Old Hook Rd, Westwood, NJ 07675-3201 | 2017-07-19 |
1386175149 | William Christian Bertram Desonne | Dentist | 1692 Clements Bridge Rd, Deptford, NJ 08096-3028 | 2017-03-23 |
1295275758 | Anjali Soni | Dentist | 1910 East Route 70, Ste 9, Cherry Hill, NJ 08003 | 2017-03-03 |
1821542176 | Amy R Patel | Dentist | 191 Rte 206 Ste 11, Flanders, NJ 07836-9002 | 2016-08-03 |
1891248647 | Lyndhurst Pediatric Dentistry, LLC | Dentist | 710 Ridge Rd, Lyndhurst, NJ 07071-3224 | 2016-07-28 |
Find all providers with the same taxonomy |
City | BRIDGEWATER |
Zip Code | 08807 |
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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.