Yax & Stec Dental Associates, PLLC

Organization Active NPI General Practice Dentistry · New Haven, MI

NPI 1265628291 · NPPES record last updated Nov 15, 2011

Key facts

NPI
1265628291
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
License
2901011882 (MI)
Legal business name
YAX & STEC DENTAL ASSOCIATES, PLLC
Practice address
58144 Gratiot Ave
Suite 316
New Haven, MI 48048
Phone
(586) 749-3333
NPI assigned
Sep 24, 2007
Organization subpart
No

Authorized official

Name
Susan Ann Ventura, MANAGER
Title
Office Manager
Phone
(586) 749-3333

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X 2901011882 MI Yes

Addresses

Primary practice location

58144 Gratiot Ave
Suite 316
New Haven, MI 48048

Mailing address

58144 Gratiot Ave Ste 316
P.O. Box 480336
New Haven, MI 48048
Phone (586) 749-3333

Other providers in New Haven, MI

All providers in New Haven, MI · General Practice Dentistry in Michigan

Sources for this page

Verify at the official NPI Registry.