Healthcare Provider Details

I. General information

NPI: 1801844410
Provider Name (Legal Business Name): STEVEN HOWARD BERNIER D.D.S., M.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/05/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

121 W NORTH ST SUITE #7
BRIGHTON MI
48116-1550
US

IV. Provider business mailing address

121 W NORTH ST SUITE #7
BRIGHTON MI
48116-1550
US

V. Phone/Fax

Practice location:
  • Phone: 810-229-2504
  • Fax: 810-229-9408
Mailing address:
  • Phone: 810-229-2504
  • Fax: 810-229-9408

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License Number2901011530
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: