Stacey Christine Michael, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

9372 Issued in CT

Practice address

37 Commerce St
Clinton, CT 06413-2054

Phone

(860) 669-5777

NPI assigned

Nov 19, 2008

Last updated

Mar 21, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Practice roles

Locations

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.

• Michael Dental of Clinton, LLC

  • General Practice Dentistry
  • Clinton, CT
  • NPI 1437766276
  NPD Authorized official

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

{
    "created_epoch": "1227052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1548415557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 COMMERCE ST",
            "city": "CLINTON",
            "state": "CT",
            "postal_code": "064132054",
            "telephone_number": "860-669-5777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 COMMERCE ST",
            "city": "CLINTON",
            "state": "CT",
            "postal_code": "064132054",
            "telephone_number": "860-669-5777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAEL",
        "first_name": "STACEY",
        "middle_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-19",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CT",
            "license": "9372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meditox Care, LLC
• Kaitlyn Paige Melino, LPC
• Caryn Mello-Kennedy
• MHS Primary Care Inc.
• Michael Dental of Clinton, LLC
• James Stephen Milone, D.C.
• MLZ Health Care Associates, LLC
• Regina Moller
• Ariana Morasutti, MS, RDN, CDN
• Ann Mullins, FNP

• Dentist in Clinton, CT
• Providers in Clinton, CT by specialty
• Dentist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; 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.