Mary J. Stahle, D.D.S., P.C.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

17334 Issued in MI

Legal business name

MARY J. STAHLE, D.D.S., P.C.

Practice address

2532 Spring Arbor Rd
Jackson, MI 49203-3663

Phone

(517) 784-5525

Fax

(517) 784-5101

NPI assigned

Jul 22, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Mary J Stahle, DDS

Title

Owner/Dentist

Phone

(517) 784-5525

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Katherine Ann Latendresse, DDS

  • General Practice Dentistry
  • Jackson, MI
  • NPI 1093384364
  NPD
• Sophia Lee, D.D.S.

  • Dentist
  • Jackson, MI
  • NPI 1811047541
  NPD (past)

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

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216684800000",
    "number": "1265697999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2532 SPRING ARBOR RD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492033663",
            "telephone_number": "517-784-5525",
            "fax_number": "517-784-5101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2532 SPRING ARBOR RD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492033663",
            "telephone_number": "517-784-5525",
            "fax_number": "517-784-5101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY J. STAHLE, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-22",
        "last_updated": "2008-07-22",
        "status": "A",
        "authorized_official_last_name": "STAHLE",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "517-784-5525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MI",
            "license": "17334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beanna Martinez, OTR
• Isabella Martinez
• Christina Martoia, LLMSW
• Michael F Martone, M.D.
• Emma Marvin
• Rocco Mascioli, CRNA
• Michelle M Maske
• Jodace Ann Massey
• Joel Massobrio, AT, ATC
• Christie Nicole Massoudi, DMD

• Dental Clinic/Center in Jackson, MI
• Providers in Jackson, MI by specialty
• Dental Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.