Provider Demographics
NPI:1447712427
Name:D. SCOTT STUCKI, DDS, PC
Entity type:Organization
Organization Name:D. SCOTT STUCKI, DDS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:STUCKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:435-862-1106
Mailing Address - Street 1:1006 S FIVE SISTERS DR
Mailing Address - Street 2:
Mailing Address - City:SAINT GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84790-4070
Mailing Address - Country:US
Mailing Address - Phone:435-229-7029
Mailing Address - Fax:
Practice Address - Street 1:619 S BLUFF ST STE 400
Practice Address - Street 2:
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84770-3970
Practice Address - Country:US
Practice Address - Phone:435-319-8992
Practice Address - Fax:435-628-5042
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-01
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty