Scott Thomas Stevenson, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

013629 Issued in MI

Practice address

11970 Sweetwater Dr
Grand Ledge, MI 48837-8199

Phone

(517) 627-2470

Fax

(517) 627-7816

NPI assigned

May 15, 2006

Sex

Male

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

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Scott T Stevenson DDS PLLC

  • Dental Clinic/Center
  • Grand Ledge, MI
  • NPI 1770180523
  NPD Authorized official
• Ouderkirk Dental PLLC

  • General Practice Dentistry
  • Grand Ledge, MI
  • NPI 1003573403
  NPD (past)

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1891746715",
    "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"
        },
        {
            "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": {
        "last_name": "STEVENSON",
        "first_name": "SCOTT",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "013629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David J Smith, M.D.
• Eric G Smith, MD
• Timothy D Smith, PHARMACIST
• Gary W. Sokol, O.D.
• Sparrow Eaton Hospital
• Lori Lynn Stone, LPC
• Dennis J. Sullivan, D.D.S.
• Janice M Sykes, RN
• David Edward Szczesny, D.D.S.
• Patricia Ann Tarr

• Dentist in Grand Ledge, MI
• Providers in Grand Ledge, 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, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.