| Stacey Kutsch, D.d.s., M.s., Pllc | |
|
5078 Pope John Paul Ii Blvd Ste 206 Ave Maria FL 34142-9528 | |
| (239) 212-1242 | |
| (239) 212-1410 |
| Full Name | Stacey Kutsch, D.d.s., M.s., Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 5078 Pope John Paul Ii Blvd Ste 206, Ave Maria, Florida |
| Authorized Official Name and Position | Stacey Rae Kutsch (OWNER) |
| Authorized Official Contact | 2392121242 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stacey Kutsch, D.d.s., M.s., Pllc 5078 Pope John Paul Ii Blvd Ste 206 Ave Maria FL 34142-9528 Ph: (239) 212-1242 | Stacey Kutsch, D.d.s., M.s., Pllc 5078 Pope John Paul Ii Blvd Ste 206 Ave Maria FL 34142-9528 Ph: (239) 212-1242 |
| NPI Number | 1265381610 |
|---|---|
| Provider Enumeration Date | 01/27/2026 |
| Last Update Date | 01/27/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265381610 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
Ave Maria Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5064 Annunciation Cir, Suite 101, Ave Maria, FL 34142 Phone: 239-919-6930 |