Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Stacie Anne Elson, RDA

Individual provider Dental Assistant · NPI 1083774285

Mrs. Stacie Anne Elson, RDA is a Dental Assistant in Modesto, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2006

Practice location Address checks out

1130 Coffee Rd Ste 9A
Modesto, CA 95355-4228
Phone: (209) 571-7283
Fax: (209) 571-7285
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Assistant (primary) Taxonomy 126800000X · Licence 29984 (CA)

Record details

NPI number1083774285
Entity typeIndividual (Type 1)
GenderFemale
Credentials RDA
Sole proprietorYes
NPI enumeratedDecember 11, 2006
Last updated in NPPESJuly 8, 2007

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