Healthcare Provider Details

I. General information

NPI: 1548195837
Provider Name (Legal Business Name): STACIA TALKINGTON RDH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

353 YORK ST
GETTYSBURG PA
17325-1953
US

IV. Provider business mailing address

461 LAKE MEADE DR
EAST BERLIN PA
17316-9363
US

V. Phone/Fax

Practice location:
  • Phone: 717-334-8193
  • Fax:
Mailing address:
  • Phone: 717-634-4664
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License NumberDH069007
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: