Audrey Stack, DDS
Audrey Stack is a Dentist provider (Dentist) practicing in Portland, ME, registered in the NPPES registry with NPI 1134287915 since 2006. The credential DDS stands for Doctor of Dental Surgery. Practices at Southern Maine Periodontal Assoc PA (listed at the same practice address in NPPES).
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1134287915 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Audrey Stack |
| Credential | DDS |
| Sex | Female |
| Practice address | 276 CANCO RD, Portland, ME, 04103 |
| Phone | 2078741025 |
| Enumeration date | 2006-12-05 |
| Last updated in NPPES | 2007-07-08 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 122300000X | Dentist | Primary | 3585 | ME |
DDS — Doctor of Dental Surgery: A licensed dentist; DDS and DMD are equivalent dental degrees. About the DDS credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 295140099 | Medicaid | ME | — |
Copy-ready billing details
Provider: Audrey Stack, DDS NPI: 1134287915 Taxonomy: 122300000X (Dentist) Address: 276 CANCO RD, Portland, ME, 04103
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1295828069 | Southern Maine Periodontal Assoc PA | Organization | Periodontics | Portland, ME |
| 1104984970 | Michael Bennett | Individual | Dentist | Portland, ME |
| 1912065798 | Mary Berube Leblanc | Individual | Dentist | Portland, ME |
| 1790843514 | Pablo Chretien | Individual | Dentist | Portland, ME |
| 1487713905 | Lawrence Jacoby | Individual | Dentist | Portland, ME |
| 1720128705 | Alan Hickey | Individual | Prosthodontics | Portland, ME |
| 1518007509 | Alan Newton | Individual | Prosthodontics | Portland, ME |
| 1649305822 | Francesco Musciano | Individual | Prosthodontics | Portland, ME |
Verify this record
Cross-check NPI 1134287915 against the authoritative CMS record: view Audrey Stack on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where does Audrey Stack practice?
What is the NPI number for Audrey Stack?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2007-07-08.