Stacey L Delbridge, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2604 Issued in NH

Practice address

668 Central Ave
Wentworth-Douglass Community Dental Ctr
Dover, NH 03820

Phone

(603) 749-3013

Fax

(603) 749-2915

NPI assigned

Jan 2, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wentworth-Douglass Community Dental Center

  • General Practice Dentistry
  • Dover, NH
  • NPI 1295814580
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1114084142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "668 CENTRAL AVE",
            "address_2": "WENTWORTH-DOUGLASS COMMUNITY DENTAL CT",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "03820",
            "telephone_number": "603-749-3013",
            "fax_number": "603-749-2915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "668 CENTRAL AVE",
            "address_2": "WENTWORTH-DOUGLASS COMMUNITY DENTAL CTR",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "03820",
            "telephone_number": "603-749-3013",
            "fax_number": "603-749-2915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELBRIDGE",
        "first_name": "STACEY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NH",
            "license": "2604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30301944",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Evan Dean
• Lauren Marie Debaene, CMHC
• Traci Kathryn Debatis, LICSW
• Shelby Debruyn
• Karla M Deinstadt, RN
• Linda M. Demo, LICSW
• Paul M Denaro, CRNA
• Holly Dennard, APRN-PSY
• Dhruv Bharat Desai, M.D
• Danielle Marie Desantis, PA-C, RDN

• General Practice Dentistry in Dover, NH
• Providers in Dover, NH by specialty
• General Practice Dentistry in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.