Hollie Blevins Stack, DDS

General Practice Dentistry · Vienna, VA

Individual Active NPI

NPI number 1366458143

Practice location

120 Beulah Rd NE
Vienna, VA 22180-4745
Phone
(703) 938-2000

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NPI record

NPI
1366458143
Entity type
Individual (Type 1)
Enumeration date
July 31, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 0401007703 VA

About Dr. Stack

Hollie Blevins Stack, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 120 Beulah Rd NE, Vienna, VA 22180-4745. The NPI number 1366458143 was assigned on July 31, 2006 and the record was last updated on July 8, 2007.

Dr. Stack lists a license in the registry: #0401007703 (VA) 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 Hollie Blevins Stack, DDS?

The NPI number is 1366458143.

What is the phone number of Dr. Stack?

The phone number listed for the practice location is (703) 938-2000.

Where is Dr. Stack located?

120 Beulah Rd NE, Vienna, VA 22180-4745.

What is the taxonomy code for Dr. Stack?

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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