Sean P Stannard, D.D.S.

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

License

12617 Issued in MI

Practice address

4170 Pontiac Lake Rd
Waterford, MI 48328-1282

Phone

(248) 673-7300

Fax

(248) 673-4614

NPI assigned

Mar 22, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Stannard and Studt Dentistry PC

  • General Practice Dentistry
  • Waterford, MI
  • NPI 1902922693
  NPD (past) Authorized official

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437275195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5862 INDEPENDENCE LN",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483221848",
            "telephone_number": "248-672-8502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4170 PONTIAC LAKE RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483281282",
            "telephone_number": "248-673-7300",
            "fax_number": "248-673-4614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANNARD",
        "first_name": "SEAN",
        "middle_name": "P",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "MI",
            "license": "12617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cindy Marie Stader, LMSW
• Wendy Lee Standifer, MA, LPC, NCC
• Stanford C Rapp DO PC
• Stanford C. Rapp, D.O., P.C.
• Stannard and Studt Dentistry PC
• Kathleen Stark, LPC
• Chelsi N Steen, B.S
• Diane Lois Stellini, MA, LPC, NCC
• James S Stepanski, DO
• Nicholas James Stepanski, DO

• Public Health Dentistry in Waterford, MI
• Providers in Waterford, MI by specialty
• Public Health Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.