Jeffrey Scott Stefani, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11481 Issued in MN

Practice address

512 66TH Ave N
Brooklyn Center, MN 55430-1643

Phone

(763) 560-3334

NPI assigned

Feb 21, 2006

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

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.

• Northland Dental Partners, PLLC

  • General Practice Dentistry
  • Brooklyn Center, MN
  • NPI 1497403810
  NPD (past)

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427328000000",
    "number": "1235104530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 66TH AVE N",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554301643",
            "telephone_number": "763-560-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 66TH AVE N",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554301643",
            "telephone_number": "763-560-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEFANI",
        "first_name": "JEFFREY",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-21",
        "last_updated": "2015-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "11481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Steven Stadem, MD
• Jason John Stadther, D.C.
• Alexandra Maria Stamos
• Devon Rose Stanley
• Starlight Transit LLC
• Lauren Stennes, M.D.
• Steps for Change
• Symone Renee Stevens
• Charles Lee Stewart, CDL DRIVER
• Issabella Stirzl

• General Practice Dentistry in Brooklyn Center, MN
• Providers in Brooklyn Center, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2015; 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.