Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1366458143 Individual Practitioner Female Practitioner

Dr. Hollie Blevins Stack , DDS

Dentist - General Practice • Vienna, VA

Professional Overview & Biography Verified Profile Summary

Dr. Hollie Stack, DDS is a registered healthcare professional specializing in Dentist - General Practice in Vienna, VA. Practice services are available at 120 BEULAH RD NE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

120 Beulah Rd Ne

Vienna, VA 221804745

Telephone 7039382000
Associated Practice Facility / Clinic
🏢 Covel,stack And Henon, Dds,pc Facility NPI 1649290560

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Vienna, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.6 Yrs
Regional Practice Density
61 Specialists

Practicing in Vienna, VA (3535 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License VA 0401007703

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Dr. James Henon , DDS

Dentist - General Practice

NPI 1194892885

Doctor of Dental Surgery

NPI 1497526677

Doctor of Dental Surgery

NPI 1497530034

Doctor of Dental Surgery

Dr. Jerome Covel , DDS

Dentist - General Practice

NPI 1770632754

Doctor of Dental Surgery

Dr. Valerie Lascala , DMD

Dentist - General Practice

NPI 1942795570

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 120 BEULAH RD NE, VIENNA, VA 221804745 (Tel: 7039382000)

📍
Updated Business Mailing Address July 08, 2007

Registered at 120 BEULAH RD NE, VIENNA, VA 221804745 (Tel: 7039382000)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as HOLLIE STACK, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #0401007703 in VA)

🟢
Initial NPI Registration & Enumeration July 31, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1366458143
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 31, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

120 Beulah Rd Ne

Vienna, VA 221804745

Phone: 7039382000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.