John J Stepanovich Dds in Grand Rapids - Dentist

John J Stepanovich Dds - NPI 1629261235

John J Stepanovich Dds is a Dentist in Grand Rapids, Michigan. John J Stepanovich Dds practices all healthcare services and medical treatments related to Dentist. The NPI Number for John J Stepanovich Dds is 1629261235. The last update date is 2007-08-27.

John J Stepanovich Dds's current location address is 260 Jefferson Ave Se, Grand Rapids, Michigan. You can contact this provider via phone number 6164591267 and fax number 6164590673. The mailing address for John J Stepanovich Dds is 260 Jefferson Ave Se, Grand Rapids, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Organization John J Stepanovich Dds
Address 260 Jefferson Ave Se, Grand Rapids, Michigan
Phone Number 6164591267
Fax Number 6164590673
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DENTIST
Authorized Official Name Stepanovich J John
Credentials DDS
Telephone Number 6164591267

NPI Number Detail

NPI Number 1629261235
Provider Enumeration Date 2007-08-27
Last Updated Date 2007-08-27

Provider Mailing Address Detail

Address 260 Jefferson Ave Se
City Grand Rapids
State Michigan (MI)
Post Code 495034597
Phone Number 6164591267
Fax Number 6164590673

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 7553
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

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FAQs about John J Stepanovich Dds

What is the unique provider identifier assigned to John J Stepanovich Dds?

The John J Stepanovich Dds has been issued the NPI (National Provider Identifier) 1629261235 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where John J Stepanovich Dds's facilities are geographically located?

The facilities of John J Stepanovich Dds are physically situated at the following location: 260 Jefferson Ave Se, Grand Rapids, MI, 495034597.

What is John J Stepanovich Dds's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for John J Stepanovich Dds is Dentist, and the taxonomy code that categorizes this field of expertise is 122300000X.

On what date was the 1629261235 assigned to John J Stepanovich Dds?

The John J Stepanovich Dds was issued its 1629261235 on 2007-08-27, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to John J Stepanovich Dds last refreshed?

The information related to the John J Stepanovich Dds, including its address, specialty, and other relevant details, was last updated on 2007-08-27.

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