Organization Active NPI

Berard & Stefanski Dentistry Partnership

Doing business as High Tech Dental

  • Dentist
  • Manistee, MI
National Provider Identifier
1104961853
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
11462 Issued in MI
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 11462 MI Primary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 18268 MI
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.