Stefan Hacker, DDS

NPI 1114916244 · on the registry since 2005

Practice

Address: 1015 W Washbourne St
Jay, OK 74346
Phone: (918) 253-8696
Organisation at this address: Grand Lake Mental Health Center Inc
Grand Lake Mental Health Center, Inc.
Grand Lake Mental Health Center, Inc.
Grand Lake Mental Health Center, Inc.
Grand Lake Mental Health Center, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 104

Registry record

Primary taxonomy: 122300000X
122300000X
Licence states on file: OK
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2026-07-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma