Stefani Luann Doody, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901020715 Issued in MI

Practice address

7141 Dexter Pinckney Rd
Dexter, MI 48130-7506

Phone

(734) 424-1718

Fax

(734) 424-1788

NPI assigned

Jun 5, 2012

Last updated

Jan 10, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Stefani Luann Strange Former name

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dexter Dental Center PLLC

  • Dental Clinic/Center
  • Dexter, MI
  • NPI 1053704817
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1338854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547078400000",
    "number": "1033470281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7141 DEXTER PINCKNEY RD",
            "city": "DEXTER",
            "state": "MI",
            "postal_code": "481307506",
            "telephone_number": "734-424-1718",
            "fax_number": "734-424-1788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7141 DEXTER PINCKNEY RD",
            "city": "DEXTER",
            "state": "MI",
            "postal_code": "481307506",
            "telephone_number": "734-424-1718",
            "fax_number": "734-424-1788"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1375 S Lapeer Rd",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Lake Orion",
            "state": "MI",
            "postal_code": "483601421",
            "country_code": "US",
            "telephone_number": "248-693-6213",
            "fax_number": "248-693-1368",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOODY",
        "first_name": "STEFANI",
        "middle_name": "LUANN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-05",
        "last_updated": "2019-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901020715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "2901020715",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEFANI",
            "last_name": "STRANGE",
            "middle_name": "LUANN",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dexter Pharmacy Inc
• Dexter Podiatry, PC
• Patricia Ann Deyoe, M.A. TLLP
• Paul A Diez, R.PH.
• Karen Dong, PT, DPT
• Dr. James K. Sommers, Inc, PC
• Stephanie D'an Dunham
• Eastern Home Health Care Inc
• Ana M Eberly, LMSW
• Catherine Edwards

• General Practice Dentistry in Dexter, MI
• Providers in Dexter, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.