OrganizationActive
Susan Stacker DDS Sc
NPI 1497819585 · Periodontics · Wausau, WI
Susan Stacker DDS Sc is a Periodontics organization in Wausau, WI (NPI 1497819585).
Provider details
- NPI number
- 1497819585
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Susan Stacker, President(715) 845-7759
- License
- 4828 (WI)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
1220 6th Street
Wausau, WI 54403-3550
Phone: (715) 845-7759
Fax: (715) 845-4509
Street-level locationGet directions
Mailing address
1220 6th Street
Wausau, WI 54403-3550
Registry dates
- Enumerated
- 2006-12-21
- Last updated
- 2020-08-22
Frequently asked questions
- What is Susan Stacker DDS Sc's NPI number?
- Susan Stacker DDS Sc's National Provider Identifier (NPI) is 1497819585, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Susan Stacker DDS Sc?
- Susan Stacker DDS Sc is classified in the NPPES registry as Periodontics (Dental Providers).
- Where is Susan Stacker DDS Sc located?
- Susan Stacker DDS Sc's practice location on file with NPPES is 1220 6th Street, Wausau, WI 54403-3550.
- What is Susan Stacker DDS Sc's phone number?
- The practice phone number listed in the NPPES registry for Susan Stacker DDS Sc is (715) 845-7759.
- Who is the authorized official for Susan Stacker DDS Sc?
- The authorized official listed on Susan Stacker DDS Sc's NPPES record is Susan Stacker, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Susan Stacker DDS Sc's NPI active?
- Yes — Susan Stacker DDS Sc's NPI (1497819585) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.