Active NPI
Berard & Stefanski Dentistry Partnership
Doing business as High Tech Dental
- Dentist
- Manistee, MI
National Provider Identifier
1104961853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 11462
- Legal business name
- BERARD & STEFANSKI DENTISTRY PARTNERSHIP
- Doing business as
- High Tech Dental
- Practice address
- 812 Cypress St
Manistee, MI 49660 - Phone
- (231) 723-6512
- Fax
- (231) 723-0000
- NPI assigned
- Feb 20, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Julie Kay Stefanski, DDS
- Title
- Dentist
- Phone
- (231) 723-6512
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 11462 | MI | Primary |
| Dentist | 122300000X | 18268 | MI | |
| Dentist | 122300000X | 18539 | IN |
Addresses
Primary practice location
812 Cypress St
Manistee, MI 49660
Mailing address
812 Cypress St
Manistee, MI 49660
Phone (231) 723-6512
Other names 1
- High Tech Dental
National Provider Directory
National Provider DirectoryLocations
812 Cypress St
Manistee, MI 49660
Phone (231) 723-6512
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1104961853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "812 CYPRESS ST",
"city": "MANISTEE",
"state": "MI",
"postal_code": "49660",
"telephone_number": "231-723-6512",
"fax_number": "231-723-0000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "812 CYPRESS ST",
"city": "MANISTEE",
"state": "MI",
"postal_code": "49660",
"telephone_number": "231-723-6512",
"fax_number": "231-723-0000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BERARD & STEFANSKI DENTISTRY PARTNERSHIP",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-20",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "STEFANSKI",
"authorized_official_first_name": "JULIE",
"authorized_official_middle_name": "KAY",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "231-723-6512",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "MI",
"license": "11462",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "MI",
"license": "18268",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "IN",
"license": "18539",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "High Tech Dental",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Manistee, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.