Third Coast Dentistry

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

THIRD COAST DENTISTRY

Practice address

330 Lovell St
Ionia, MI 48846-9706

Phone

(616) 634-3068

NPI assigned

Jan 25, 2024

Organization subpart

No

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

Authorized official

Name

Nick Stebbins, DMD

Title

Owner/Chief Operations Officer

Phone

(269) 303-2166

Specialties & licenses 1

Addresses

Practitioners 1

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

• Nicholas S Stebbins, D.M.D.

  • Dentist
  • Pittsburgh, PA
  • NPI 1164975843
  NPD

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

{
    "created_epoch": "1706140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706140800000",
    "number": "1902668932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 FULTON ST W APT 1409",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032678",
            "telephone_number": "269-303-2166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 LOVELL ST",
            "city": "IONIA",
            "state": "MI",
            "postal_code": "488469706",
            "telephone_number": "616-634-3068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THIRD COAST DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-25",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A",
        "authorized_official_last_name": "STEBBINS",
        "authorized_official_first_name": "NICK",
        "authorized_official_title_or_position": "OWNER/CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "269-303-2166",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Telder
• Debra Lynn Thalison, MA, RSST, ICCJP, SAP
• Bhuvaraghamurthy Thangamani, M.D.
• Elizabeth Gary Thelen, LMSW, CAADC
• Joshua Emitt Thelen, LMSW
• Angela Ann Thomas
• Leslie Thomas
• Mackenzie Lynn Thomas
• Kevin Thompson, LLMSW
• Warren H. Thompson, D.D.S.

• Dental Clinic/Center in Ionia, MI
• Providers in Ionia, 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 Jan 25, 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.