Individual provider Active NPI

Sean Joseph Stringer, D.D.S.

  • Dentist
  • Petoskey, MI
National Provider Identifier
1134418205
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901020527 Issued in MI
Practice address
2325 Summit Park Dr Ste D
Petoskey, MI 49770-8774
Phone
(231) 487-1020
NPI assigned
Mar 29, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901020527 MI Primary

Addresses

Primary practice location

2325 Summit Park Dr Ste D
Petoskey, MI 49770-8774

Mailing address

405 N Division Rd Ste 2
Petoskey, MI 49770-9046
Phone (231) 487-1020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Apr 6, 2026 through Apr 6, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901020527MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Great Lakes Oral and Maxillofacial Surgery P.C. CurrentSince Jun 22, 2021 Accepting new patients

Locations

2325 Summit Park Dr
Ste D
Petoskey, MI 49770
Phone (231) 487-1020

Interoperability endpoints

  • Direct secure messaging: sean.j.stringer@upmcdirect.com

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1301356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1134418205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 N DIVISION RD STE 2",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497709046",
            "telephone_number": "231-487-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 SUMMIT PARK DR STE D",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497708774",
            "telephone_number": "231-487-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRINGER",
        "first_name": "SEAN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-29",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901020527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petoskey, MI

Sources for this page

Verify at the official NPI Registry.