Stines Dental Associates

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

2901009380 Issued in MI

Legal business name

STINES DENTAL ASSOCIATES

Practice address

24450 Evergreen Rd
Suite101
Southfield, MI 48075-5518

Phone

(248) 350-3366

NPI assigned

Mar 12, 2008

Organization subpart

No

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

Authorized official

Name

Michelle Anne Stines, DDS

Title

President

Phone

(517) 552-9210

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1205280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205280000000",
    "number": "1265603757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24450 EVERGREEN RD",
            "address_2": "SUITE101",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480755518",
            "telephone_number": "248-350-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24450 EVERGREEN RD",
            "address_2": "SUITE101",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480755518",
            "telephone_number": "248-350-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STINES DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-12",
        "last_updated": "2008-03-12",
        "status": "A",
        "authorized_official_last_name": "STINES",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "517-552-9210",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "MI",
            "license": "2901009380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Stewart II
• Sherry Stewart
• Sydney L Stewart
• Tamara Stewart
• Mark Allyn Stiff, M.D.
• Alfred Vincent Stines, DDS
• Bobby Stinnette, LPC
• Richard Mark Stober, MD
• Kristina M Stock
• Lindalee Stocks, LMSW

• Prosthodontics in Southfield, MI
• Providers in Southfield, MI by specialty
• Prosthodontics in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; 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.