Scott T Stevenson DDS PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SCOTT T STEVENSON DDS PLLC

Practice address

11970 Sweetwater Dr
Grand Ledge, MI 48837-8199

Phone

(517) 627-2470

Fax

(517) 627-7816

NPI assigned

Oct 5, 2020

Last updated

Oct 5, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Scott T Stevenson, DDSNPI 1891746715

Title

Owner

Phone

(517) 627-2470

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Scott Thomas Stevenson, D.D.S.

  • Dentist
  • Grand Ledge, MI
  • NPI 1891746715
  NPD Authorized official
• Evan David Ouderkirk, DDS

  • General Practice Dentistry
  • Grand Ledge, MI
  • NPI 1790308492
  NPD

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

{
    "created_epoch": "1601856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601856000000",
    "number": "1770180523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11970 SWEETWATER DR",
            "city": "GRAND LEDGE",
            "state": "MI",
            "postal_code": "488378199",
            "telephone_number": "517-627-2470",
            "fax_number": "517-627-7816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11970 SWEETWATER DR",
            "city": "GRAND LEDGE",
            "state": "MI",
            "postal_code": "488378199",
            "telephone_number": "517-627-2470",
            "fax_number": "517-627-7816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT T STEVENSON DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-05",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A",
        "authorized_official_last_name": "STEVENSON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-627-2470",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas Gerard Schaefer, L.P.T.A.
• Shelby Schefke
• Schmitzer Eyecare, P.C. (Grand Ledge Optometry, P.C.)
• Andrew H. Schmitzer, O.D.
• Tina Schrump
• Aleesha Leeann Scott
• Brooke Selleck
• Julianna R Shaltry, MA, LPC, CAADC, NCC
• Shawn David Shaltry, LPC
• Tamara Rose Kujawa Shiflett, LMSW

• Dental Clinic/Center in Grand Ledge, MI
• Providers in Grand Ledge, 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 5, 2020; 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.