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Stacy Branthoover, LDH — NPI 1558030395, Clayton, IN | NPI Central

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NPI 1558030395

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Stacy Branthoover, LDH

NPI 1558030395 · Dental Hygienist · Clayton, IN

Provider details

NPI number: 1558030395
Entity type: Individual
Primary specialty: Dental HygienistDental Providers
Credential: LDH
Sex: Female
Sole proprietor: No
License: 13006296A (IN)

Specialties & taxonomies

Dental HygienistPrimary124Q00000XLicense 13006296A (IN)
Dental Providers

Practice location

195 W County Road 600 S

Clayton, IN 46118-9295

Phone: (317) 777-0142

Approximate (ZIP-level) locationGet directions

More IN providers

Mailing address

195 W County Road 600 S

Clayton, IN 46118-9295

Registry dates

Enumerated: 2021-09-07
Last updated: 2021-09-07
Certified: 2021-09-07

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.