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General NPI Number Information
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NPI Number | 1457150823
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Entity Type | Organization
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Legal Business Name | STEPHANIE HEYLAND DMD PLLC
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Dates
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Enumeration Date | 03/10/2025
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Last Update Date | 03/10/2025
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Provider Practice Location Address
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Address Line | 111 HAROLD ST
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City | MIDLAND
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State | MI
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Zip | 48640-4416
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Country | US
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Telephone | 989-631-6760
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Fax |
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Provider Business Mailing Address
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Address Line | 2662 N TAMARACK DR
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City | MIDLAND
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State | MI
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Zip | 48642-7886
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. STEPHANIE HEYLAND
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Credential | DMD
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Telephone | 989-429-3684
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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