Organization Active NPI

Stannard and Studt Dentistry PC

  • General Practice Dentistry
  • Waterford, MI
National Provider Identifier
1902922693
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12617 Issued in MI
Legal business name
STANNARD AND STUDT DENTISTRY PC
Practice address
4170 Pontiac Lake Rd
Waterford, MI 48328-1282
Phone
(248) 673-7300
Fax
(248) 673-4614
NPI assigned
Mar 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Sean P Stannard, D.D.S.NPI 1437275195
Title
Owner
Phone
(248) 673-7300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 12617 MI Primary

Addresses

Primary practice location

4170 Pontiac Lake Rd
Waterford, MI 48328-1282

Mailing address

4170 Pontiac Lake Rd
Waterford, MI 48328-1282
Phone (248) 673-7300

National Provider Directory

National Provider Directory

Locations

4170 Pontiac Lake Rd
Waterford, MI 48328
Phone (248) 673-7300

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902922693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4170 PONTIAC LAKE RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483281282",
            "telephone_number": "248-673-7300",
            "fax_number": "248-673-4614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4170 PONTIAC LAKE RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483281282",
            "telephone_number": "248-673-7300",
            "fax_number": "248-673-4614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANNARD AND STUDT DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STANNARD",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-673-7300",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "12617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.