Active NPIIndividual provider

Stacie Goddreau, RDH

Dental Hygienist in Lansing, Michigan

NPI Number1164143863
Practice location
120 N Washington Sq Ofc 378, Lansing, MI 48933-1617
Fax
888-662-0859
Last updated
September 9, 2022

Stacie Goddreau is a Dental Hygienist based in Lansing, MI. Stacie Goddreau practices in Lansing, MI and has the professional credentials of RDH. The NPI Number for Stacie Goddreau is 1164143863 and holds a License No. 2902016570 (MI). The current practice location address for Stacie Goddreau is 120 N Washington Sq Ofc 378, Lansing, MI 48933-1617 and can be reached out via phone at 888-964-6681 and via fax at 888-662-0859.

Provider Profile Details

NPI Number
1164143863
Provider Name
Stacie Goddreau
Credential
RDH
Provider Entity Type
Individual
Gender
Female
Address
120 N Washington Sq Ofc 378, Lansing, MI 48933-1617
Phone Number
888-964-6681
Fax Number
888-662-0859
Primary Taxonomy
Dental Hygienist · 124Q00000X
Sole Proprietor
No
Provider Enumeration Date
September 9, 2022
Last Update Date
September 9, 2022
Certification Date
September 9, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
120 N Washington Sq Ofc 378
Lansing, MI 48933-1617
Zip
48933-1617
Phone Number
888-964-6681
Fax Number
888-662-0859
Lansing, MI 48933Get directions →

Provider Business Mailing Address Details

Address
100 Crossing Blvd Ste 300
Framingham, MA 01702-5555
City
Framingham
State
MA
Zip
01702-5555
Phone Number
617-964-6681
Fax Number
339-686-2561

License Information

License Number
2902016570
License State
MI
Taxonomy
Dental Hygienist · 124Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Stacie Goddreau, RDH?

The NPI number of Stacie Goddreau, RDH is 1164143863. It was assigned on September 9, 2022 and is currently active in the NPPES registry.

What is the specialty of Stacie Goddreau, RDH?

Stacie Goddreau, RDH is registered under the primary taxonomy Dental Hygienist (code 124Q00000X), licensed in MI under license number 2902016570.

Where does Stacie Goddreau, RDH practice?

The practice location is 120 N Washington Sq Ofc 378, Lansing, MI 48933-1617. The office can be reached at 888-964-6681 (phone) or 888-662-0859 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164143863 directly on the NPPES registry website.

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