Marianne Stefan, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901014514 Issued in MI

Practice address

26711 Woodward Ave
Ste. 100
Huntington Woods, MI 48070-1333

Phone

(248) 541-5161

Fax

(248) 541-3233

NPI assigned

May 21, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

State licenses

Practice roles

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.

• Your Dental Connection D.D.S., P.C.

  • Dental Clinic/Center
  • Huntington Woods, MI
  • NPI 1578299707
  NPD (past)

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1154530731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26711 WOODWARD AVE",
            "address_2": "STE. 100",
            "city": "HUNTINGTON WOODS",
            "state": "MI",
            "postal_code": "480701333",
            "telephone_number": "248-541-5161",
            "fax_number": "248-541-3233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26711 WOODWARD AVE",
            "address_2": "STE. 100",
            "city": "HUNTINGTON WOODS",
            "state": "MI",
            "postal_code": "480701333",
            "telephone_number": "248-541-5161",
            "fax_number": "248-541-3233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEFAN",
        "first_name": "MARIANNE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901014514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacey Anne Shulman, M.A. CCC-SLP
• James Anthony Singer, DDS
• Skilled Lactation Solutions LLC
• Matthew James Smith, D.D.S.
• Emily Sroka
• Mariah Stefani
• Stephanie Wright Consultation PLLC
• Stewart SLP, LLC
• Nicole Arbutus Stewart, M.S., CCC-SLP
• Barbara Sugarman, LMSW

• General Practice Dentistry in Huntington Woods, MI
• Providers in Huntington Woods, 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 Sep 19, 2023; 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.