Stacey Rae Hancock, BSDH, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

10516 Issued in TN

Practice address

574 W Sam Ridley Pkwy
Smyrna, TN 37167-5621

Phone

(615) 488-1151

NPI assigned

Aug 10, 2024

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Ideal Dental Smyrna PLLC

  • Dentist
  • Smyrna, TN
  • NPI 1770249633
  NPD

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

{
    "created_epoch": "1723248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745539200000",
    "number": "1134950256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4005 CEDAR GLADES DR STE C",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371283203",
            "telephone_number": "615-212-2377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "574 W SAM RIDLEY PKWY",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371675621",
            "telephone_number": "615-488-1151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANCOCK",
        "first_name": "STACEY",
        "middle_name": "RAE",
        "credential": "BSDH, RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-10",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "TN",
            "license": "10516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haley Elizabeth Halsell, M.S., CCC-SLP
• Norman Jerry Hamburger, M.D.
• Lisa B Hammock, CRNA
• Arlis Hampton
• Gina Elizabeth Hamrang, M.D.
• Jaime Katherine Handra
• Hanger Prosthetics & Orthotics, Inc.
• Emma Lee Hanmer, OTR/L
• Jacey Hanna, BCBA
• Sandra Hanna

• Dental Hygienist in Smyrna, TN
• Providers in Smyrna, TN by specialty
• Dental Hygienist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2025; 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.