Stephanie Lynn So Collins, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

2901601287 Issued in MI

Practice address

100 Woods Cir Ste 600
Alpena, MI 49707-1445

Phone

(989) 356-4898

NPI assigned

Aug 12, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1376265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1487087508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 N BEAVER ST",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013108",
            "telephone_number": "928-853-6068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WOODS CIR STE 600",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497071445",
            "telephone_number": "989-356-4898"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5200 E Cortland Blvd",
            "address_purpose": "LOCATION",
            "city": "Flagstaff",
            "state": "AZ",
            "postal_code": "860049337",
            "country_code": "US",
            "telephone_number": "928-526-4314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "STEPHANIE",
        "middle_name": "LYNN SO",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-12",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D008824",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901601287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alesha Clink
• Doris V Coca-Soto, M.D.
• Harleigh Cohoon
• Phyllis Lynne Colagross, LMSW
• Brandy Ann Colleran
• Rhianna Compton, LMSW
• Leah Jane Conboy, D.O.
• James B Cook, PA-C
• Lisa Cook, LLPC
• Thomas J Cook, M.D.

• Dentist in Alpena, MI
• Providers in Alpena, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; 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.