Stieber Pediatric Dentistry PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

2901021260 Issued in MI

Legal business name

STIEBER PEDIATRIC DENTISTRY PLLC

Practice address

2266 Mitchell Park Dr
Petoskey, MI 49770-9600

Phone

(231) 347-1830

NPI assigned

Jan 28, 2016

Organization subpart

No

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

Authorized official

Name

Jane Stieber AmatoNPI 1861783953

Title

Owner

Phone

(231) 347-1830

Specialties & licenses 1

Addresses

Other names 1

• Petoskey Pediatric Dentistry Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jane Stieber Amato, DDS, MSD, MPH

  • Pediatric Dentistry
  • Petoskey, MI
  • NPI 1861783953
  NPD Authorized official

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

{
    "created_epoch": "1453939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729209600000",
    "number": "1669839130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4530 BARBER RD",
            "city": "BOYNE CITY",
            "state": "MI",
            "postal_code": "497129723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2266 MITCHELL PARK DR",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497709600",
            "telephone_number": "231-347-1830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STIEBER PEDIATRIC DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-28",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A",
        "authorized_official_last_name": "AMATO",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "STIEBER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-347-1830"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MI",
            "license": "2901021260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Petoskey Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marcus Stefano
• Jessica R Stefanski, LLMSW
• Mark Stephenson, CCAR
• Emily R Stevens, MD
• Kennedy Steward
• Still Space Counseling LLC
• Mary Rebecca Stoll, P.A.
• Loralee M Streelman, ATR-BC,LCPC
• Sean Joseph Stringer, D.D.S.
• Bryan T Stump, DMD

• Dental Clinic/Center in Petoskey, MI
• Providers in Petoskey, MI by specialty
• Dental Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; 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.