Mr. Stephen M Ghezzi
Pediatric Dentist
26018 Pontiac Trl
South Lyon
, Michigan 48178-8050
Mr. Stephen M Ghezzi
Pediatric Dentist
26018 Pontiac Trl
South Lyon
, Michigan 48178-8050
(855) 778-2780
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About
Features
Specialties
- Pediatric Dentist
Languages spoken
- English
Location
First Address
- Mr. Stephen M Ghezzi
- 26018 Pontiac Trl
- South Lyon, MI
- Zip : 48178-8050
- Fax : (855) 778-2780
- Phone : (248) 486-4030
Second Address
- Mr. Stephen M Ghezzi
- 26018 Pontiac Trl
- South Lyon, MI
- Zip : 48178-8050
- Fax : (855) 778-2780
- Phone : (248) 486-4030
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Is Mr. Stephen M Ghezzi a sole practitioner?
Is Mr. Stephen M Ghezzi accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0221X | Pediatric Dentist | 2901017960 | MI |
National Provider Identifier
| NPI | 1104819721 |
|---|---|
| Provider Name | Mr. Stephen M Ghezzi |
| First Address | South Lyon, MI 48178-8050 |
| Second Address | South Lyon, MI 48178-8050 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/08/2005 |
| Last Update Date | 02/10/2014 |
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.