Stacy Marie Shearen, D.D.S

General Practice Dentistry · Mendota Heights, MN

Individual Active NPI

NPI number 1316144603

Practice location

2418 Enterprise Dr
Suite B
Mendota Heights, MN 55120-1362
Phone
(651) 452-2116

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NPI record

NPI
1316144603
Entity type
Individual (Type 1)
Enumeration date
June 29, 2007
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X D12393 MN

Mailing address

66 E Pleasant Lake Rd
North Oaks, MN 55127-6316
Phone
(651) 238-6073

About Dr. Shearen

Stacy Marie Shearen, D.D.S is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 2418 Enterprise Dr, Suite B, Mendota Heights, MN 55120-1362. The NPI number 1316144603 was assigned on June 29, 2007 and the record was last updated on July 8, 2007.

Dr. Shearen lists a license in the registry: #D12393 (MN) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Stacy Marie Shearen, D.D.S?

The NPI number is 1316144603.

What is the phone number of Dr. Shearen?

The phone number listed for the practice location is (651) 452-2116.

Where is Dr. Shearen located?

2418 Enterprise Dr, Suite B, Mendota Heights, MN 55120-1362.

What is the taxonomy code for Dr. Shearen?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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