Sean P Stannard
Dental Public Health
4170 Pontiac Lake Rd
Waterford
, Michigan 48328-1282
Sean P Stannard
Dental Public Health
4170 Pontiac Lake Rd
Waterford
, Michigan 48328-1282
(248) 672-8502
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About
Features
Specialties
- Dental Public Health
Languages spoken
- English
Location
First Address
- Sean P Stannard
- 5862 Independence Ln
- West Bloomfield, MI
- Zip : 48322-1848
- Phone : (248) 672-8502
Second Address
- Sean P Stannard
- 4170 Pontiac Lake Rd
- Waterford, MI
- Zip : 48328-1282
- Fax : (248) 673-4614
- Phone : (248) 673-7300
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223D0001X | Dental Public Health | 12617 | MI |
National Provider Identifier
| NPI | 1437275195 |
|---|---|
| Provider Name | Sean P Stannard |
| First Address | West Bloomfield, MI 48322-1848 |
| Second Address | Waterford, MI 48328-1282 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/03/2007 |
| Last Update Date | 08/07/2007 |
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.