Organization Active NPI

Stellar Dental PLLC

  • Dental Clinic/Center
  • Sterling Heights, MI
National Provider Identifier
1609502186
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
STELLAR DENTAL PLLC
Practice address
5556 Metro Pkwy Ste B
Sterling Heights, MI 48310-4110
Phone
(586) 939-5980
Fax
(586) 939-3409
NPI assigned
Jul 27, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

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

Authorized official

Name
Odeta Dinella-Manushi
Title
Dentist
Phone
(586) 939-5980

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

5556 Metro Pkwy Ste B
Sterling Heights, MI 48310-4110

Mailing address

5556 Metro Pkwy Ste B
Sterling Heights, MI 48310-4110
Phone (586) 939-5980

Other identifiers 1

IdentifierTypeStateIssuer
197980OtherMIODETA DINELLA-MANUSHI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1658880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662508800000",
    "number": "1609502186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5556 METRO PKWY STE B",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483104110",
            "telephone_number": "586-939-5980",
            "fax_number": "586-939-3409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5556 METRO PKWY STE B",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483104110",
            "telephone_number": "586-939-5980",
            "fax_number": "586-939-3409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STELLAR DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-27",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A",
        "authorized_official_last_name": "DINELLA-MANUSHI",
        "authorized_official_first_name": "ODETA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "586-939-5980"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ODETA DINELLA-MANUSHI",
            "identifier": "197980",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.