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Kathleen Stack, RDH, MPH
NPI 1073793675 · Dental Hygienist · Willimantic, CT
Kathleen Stack, RDH, MPH is a Dental Hygienist provider in Willimantic, CT (NPI 1073793675).
Provider details
- NPI number
- 1073793675
- Entity type
- Individual
- Primary specialty
- Dental HygienistDental Providers
- Credential
- RDH, MPH
- Sex
- Female
- Sole proprietor
- No
- License
- 007004 (CT)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1315 Main St
Willimantic, CT 06226-1948
Phone: (860) 450-7456
Fax: (860) 423-4629
Street-level locationGet directions
Mailing address
84 High St
Mystic, CT 06355-2439
Registry dates
- Enumerated
- 2007-11-12
- Last updated
- 2007-11-12
Frequently asked questions
- What is Kathleen Stack's NPI number?
- Kathleen Stack's National Provider Identifier (NPI) is 1073793675, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kathleen Stack's specialty?
- Kathleen Stack is listed in the NPPES registry with a primary specialty of Dental Hygienist (Dental Providers).
- Where is Kathleen Stack located?
- Kathleen Stack's practice location on file with NPPES is 1315 Main St, Willimantic, CT 06226-1948.
- What is Kathleen Stack's phone number?
- The practice phone number listed in the NPPES registry for Kathleen Stack is (860) 450-7456.
- Is Kathleen Stack's NPI active?
- Yes — Kathleen Stack's NPI (1073793675) is active in the NPPES registry as of the last update on 2007-11-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.