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Dr. Stacey Lyle Zuck, DMD,MD
Oral and Maxillofacial Surgery (Dentist) in Lawrenceville, Georgia
NPI 1699746503

Stacey Lyle Zuck is a Oral and Maxillofacial Surgery (Dentist) based in Lawrenceville, GA and is specialized in Oral and Maxillofacial Surgery. Stacey Lyle Zuck practices in Lawrenceville, GA and has the professional credentials of DMD,MD. The NPI Number for Stacey Lyle Zuck is 1699746503 and holds a License No. DN031444 (Georgia).

The current practice location address for Stacey Lyle Zuck is 945 River Centre Pl, Lawrenceville, GA and can be reached out via phone at 770-995-7960 and via fax at 770-995-7367. You can also correspond with Stacey Lyle Zuck through the mailing address at 945 RIVER CENTRE PL, LAWRENCEVILLE, GA - 30043-7340 (mailing address contact number: 770-995-7960).

Location: 945 River Centre Pl, Lawrenceville, GA, 30043-7340
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699746503
Provider Name
Stacey Lyle Zuck
Credential
DMD,MD
Provider Entity Type
Individual
Gender
Male
Address
945 River Centre Pl, Lawrenceville, GA, 30043-7340
Phone Number
770-995-7960
Fax Number
770-995-7367
Provider Enumeration Date
01/30/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
945 River Centre Pl
City
Lawrenceville
State
Georgia
Zip
30043-7340
Phone Number
770-995-7960
Fax Number
770-995-7367
person
Provider Business Mailing Address Details
Address
945 River Centre Pl
City
Lawrenceville
State
Georgia
Zip
30043-7340
Phone Number
770-995-7960
Fax Number
770-995-7367
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
DN031444 (Georgia)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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