Thora Jane Stacy
Dental Assistant

Address: 2300 N.e. Lacncaster Dr., Salem, OR 97303
Phone: 5033704313

Thora Jane Stacy (NPI# 1245590553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1245590553
Entity Type Individual
Full Name Thora Jane Stacy
Credential CDA EFDA
Gender Female
Practice Address 2300 N.e. Lacncaster Dr.
Salem
OR 97303
Practice Telephone 5033704313
Mailing Address 4255 Cordon Rd Ne
Salem
OR 97305-3738
Mailing Telephone 5033704313
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2012-05-21
Last Update Date 2012-05-21

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 126800000X Dental Assistant Dental Providers

Taxonomy Information

Taxonomy Code 126800000X
Grouping Dental Providers
Classification Dental Assistant

Taxonomy Definition

An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary.
Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134609050 Andrea P Merryman Dental Assistant 5135 Skyline Rd South, Salem, OR 97306 2018-08-20
1922137504 Charlene Garbutt Dental Assistant 5135 Skyline Rd. S., Salem, OR 97306 2007-03-02
1417085747 Michelle West Dental Assistant 5135 Skyline R S, Salem, OR 97306 2007-02-28
1295366698 Noeun Nom Dental Assistant 2300 Lancaster Dr Ne, Salem, OR 97305-1223 2020-02-04
1427689843 Cynthia Younkin Dental Assistant 2300 Lancaster Dr Ne, Salem, OR 97305-1223 2020-02-04
1629608070 Lisa Renea Carr Dental Assistant 2400 Lancaster Dr Ne, Salem, OR 97305-1221 2020-01-23
1285264978 Stacy Marie Dunnihoo Dental Assistant 5135 Skyline Rd S, Salem, OR 97306-9427 2020-01-22
1407486558 Heidi Kae Mort Dental Assistant 5135 Skyline Rd S, Salem, OR 97306-9427 2020-01-16
1356981203 Sharon Kay Rice Dental Assistant 2300 Lancaster Dr Ne, Salem, OR 97305-1223 2020-01-08
1346705647 Alina Ferguson Dental Assistant 5135 Skyline Rd S, Salem, OR 97306-9427 2019-01-31
Find all providers in SALEM

Office Location

Street Address 2300 N.E. LACNCASTER DR.
City SALEM
State OR
Zip Code 97303

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1649750175 Kristin Marie Barz Behavior Analyst 4690 12th Ave Ne, Keizer, OR 97303 2018-08-15
1003359605 Angela Rose Richard Community Health Worker 3410 Cherry Avenue Ne, Keizer, OR 97303 2016-11-30
1881146629 Alma Denise Vera Dental Hygienist 5825 Shoreview Lane Ste C, Keizer, OR 97303 2016-10-27
1679919849 Ramya Shyamala Kamath Dentist 4817 River Rd N, Keizer, OR 97303 2013-05-15
1356682041 Teresa M Treinen Physical Therapist 190 Sandy Drive N, Keizer, OR 97303 2013-03-06
1598001844 Eagle Eye Vision Care LLC Optometrist 4048 River Road North, Keizer, OR 97303 2012-12-13
1295028850 Rodger Nordskog Magnuson Pharmacist 5452 River Road N., Keizer, OR 97303 2011-05-16
1326299843 Douglas Scott Hamblin Pediatrics 5685 Inland Shores Way, Keizer, OR 97303 2008-10-02
1639333727 Joel M Suckow Psychiatry & Neurology 773 Linda Ave Ne, Keizer, OR 97303 2008-07-17
1982870382 Debra Kaye Lynch Podiatrist 4905 River Road N, Keizer, OR 97303 2008-05-06
Find all providers in zip 97303

Competitor

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City SALEM
Zip Code 97303

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.