Active NPIIndividual provider

Stacey L Pomales, CDA, RDA

Dental Assistant in Vineland, New Jersey

NPI Number1295034353
Practice location
1103 W Sherman Ave, Vineland, NJ 08360-6915
Fax
856-692-5565
Last updated
March 15, 2011

Stacey Lynn Pomales is a Dental Assistant based in Vineland, NJ. Stacey Lynn Pomales practices in Vineland, NJ and has the professional credentials of CDA, RDA. The NPI Number for Stacey Lynn Pomales is 1295034353. The current practice location address for Stacey Lynn Pomales is 1103 W Sherman Ave, Vineland, NJ 08360-6915 and can be reached out via phone at 856-692-9333 and via fax at 856-692-5565.

Provider Profile Details

NPI Number
1295034353
Provider Name
Stacey Lynn Pomales
Credential
CDA, RDA
Provider Entity Type
Individual
Gender
Female
Address
1103 W Sherman Ave, Vineland, NJ 08360-6915
Phone Number
856-692-9333
Fax Number
856-692-5565
Primary Taxonomy
Dental Assistant · 126800000X
Sole Proprietor
No
Other Names
-- Stacey Lynn Kristovich (Former Name)
Provider Enumeration Date
March 15, 2011
Last Update Date
March 15, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
1103 W Sherman Ave
Vineland, NJ 08360-6915
Zip
08360-6915
Phone Number
856-692-9333
Fax Number
856-692-5565
Vineland, NJ 08360Get directions →

Provider Business Mailing Address Details

Address
1103 W Sherman Ave
Vineland, NJ 08360-6915
City
Vineland
State
NJ
Zip
08360-6915
Phone Number
856-692-9333
Fax Number
856-692-5565

License Information

Taxonomy
Dental Assistant · 126800000X · 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 Stacey L Pomales, CDA, RDA?

The NPI number of Stacey L Pomales, CDA, RDA is 1295034353. It was assigned on March 15, 2011 and is currently active in the NPPES registry.

What is the specialty of Stacey L Pomales, CDA, RDA?

Stacey L Pomales, CDA, RDA is registered under the primary taxonomy Dental Assistant (code 126800000X).

Where does Stacey L Pomales, CDA, RDA practice?

The practice location is 1103 W Sherman Ave, Vineland, NJ 08360-6915. The office can be reached at 856-692-9333 (phone) or 856-692-5565 (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 1295034353 directly on the NPPES registry website.

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