Jean M Stolt
Dental Hygienist Dental Public Health
3434 M 119 Ste G
Harbor Springs
, Michigan 49740-9373
Jean M Stolt
Dental Hygienist Dental Public Health
3434 M 119 Ste G
Harbor Springs
, Michigan 49740-9373
(231) 348-3946
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About
Features
Specialties
- Dental Public Health
- Dental Hygienist
Languages spoken
- English
Location
First Address
- Jean M Stolt
- 3434 M 119 Ste G
- Harbor Springs, MI
- Zip : 49740-9373
- Fax : (231) 348-3946
- Phone : (231) 348-3970
Second Address
- Jean M Stolt
- 3434 M 119 Ste G
- Harbor Springs, MI
- Zip : 49740-9373
- Fax : (231) 348-3946
- Phone : (231) 348-3970
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223D0001X | Dental Public Health | 2901018239 | MI |
| N | 124Q00000X | Dental Hygienist | 2902012500 | MI |
National Provider Identifier
| NPI | 1063058097 |
|---|---|
| Provider Name | Jean M Stolt |
| First Address | Harbor Springs, MI 49740-9373 |
| Second Address | Harbor Springs, MI 49740-9373 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/11/2019 |
| Last Update Date | 25/11/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 2902012500 | (05) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.