Copper Country Orthodontist, P.C.
Organization Active NPI Orthodontics and Dentofacial Orthopedics Dentistry · Hancock, MI
NPI 1417009259 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1417009259
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
- License
- 2901011868 (MI)
- Legal business name
- COPPER COUNTRY ORTHODONTIST, P.C.
- Practice address
- 124 Quincy St
Hancock, MI 49930-1827 - Phone
- (906) 482-0015
- Fax
- (906) 482-3225
- NPI assigned
- Jan 18, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Suazn Marie Stacknik, D.D.S., M.S.
- Title
- President Owner
- Phone
- (906) 482-0015
Practitioners 1
-
Suzan Marie Stacknik, D.D.S., M.S.
National Provider Directory
Locations
124 Quincy St
Hancock, MI 49930
Phone (906) 482-0015
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry |
1223X0400X | 2901011868 | MI | Yes |
Addresses
Primary practice location
124 Quincy St
Hancock, MI 49930-1827
Mailing address
124 Quincy St
Hancock, MI 49930-1827
Phone (906) 482-0015
Other providers in Hancock, MI
- Toni M Clisch
- Melissa Collard
- Thomas Collins
- Concierge Dermatology & Skin Surgery Center
- Copper Country Intermediate School District
- Copper Island Behavioral Health
- Bruce P Coppo
- County of Houghton
- County of Houghton
- County of Houghton
All providers in Hancock, MI · Orthodontics and Dentofacial Orthopedics Dentistry in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.