Lake State Dental PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

LAKE STATE DENTAL PLLC

Practice address

401 N Lakeview Ave
Sturgis, MI 49091-1229

Phone

(302) 841-0871

NPI assigned

Jun 27, 2023

Organization subpart

No

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

Authorized official

Name

Claire Stickler, DDSNPI 1003554643

Title

Dr.

Phone

(302) 841-0871

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Claire Stickler, DDS

  • General Practice Dentistry
  • Sturgis, MI
  • NPI 1003554643
  NPD Authorized official

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

{
    "created_epoch": "1687824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687824000000",
    "number": "1942986476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 COLUMBIA AVE",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490852405",
            "telephone_number": "302-841-0871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N LAKEVIEW AVE",
            "city": "STURGIS",
            "state": "MI",
            "postal_code": "490911229",
            "telephone_number": "302-841-0871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE STATE DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-27",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A",
        "authorized_official_last_name": "STICKLER",
        "authorized_official_first_name": "CLAIRE",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "302-841-0871",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristy K Davis DO PLLC
• Kroger Limited Partnership I (Kroger Pharmacy)
• Anthony Kuhbander, NP
• Lake Country Health Alliance
• Lake Country Urology Clinic, PLLC (Lake Country Health Alliance)
• Alexis Mariah Lance, PHARM. D
• Autumn Lash
• Drew Leer
• Jacob Libby, OTRL
• James Thomas Lioy, AT, ATC, CSCS

• Dental Clinic/Center in Sturgis, MI
• Providers in Sturgis, 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 Jun 27, 2023; 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.