Jack Stacker
Dentist - General Practice • Wausau, WI
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jack Stacker has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Jack Stacker was a registered Dentist - General Practice practicing in Wausau, WI. Throughout an active medical career spanning 17 years, Jack Stacker provided care at the practice location at 705 S 24TH AVE until profile deactivation on 2024-01-31.
Practice Location & Contact Primary Location
705 S 24th Ave
Suite 430
Wausau, WI 544015242
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Wausau, WI
Practicing in Wausau, WI (2459 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
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
Dentist - General Practice
Doctor of Dental Surgery
Dentist - General Practice
Dentist - General Practice
Doctor of Dental Surgery
Dentist
Doctor of Dental Surgery
Dentist
Doctor of Dental Surgery
Dentist - General Practice
Doctor of Dental Surgery
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on January 31, 2024
NPI status registered as active in NPPES database
Registered at 705 S 24TH AVE, SUITE 430, WAUSAU, WI 544015242 (Tel: 7158423933)
Registered at 705 S 24TH AVE, SUITE 430, WAUSAU, WI 544015242 (Tel: 7158423933)
Recorded as JACK STACKER
Dentist (License #1378 in WI)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
705 S 24th Ave, Suite 430
Wausau, WI 544015242
Phone: 7158423933
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.