MEDICARE: DR. STEPHANIE STEPHAN DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	2901021341	MI
2	122300000X	Dentist	2901021341	MI

General Provider Information

NPI Number	:	1609237965
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEPHANIE STEPHAN DDS

Provider Business Mailing Address
First Line	:	2485 W WALTON BLVD
Second Line	:
City	:	WATERFORD TOWNSHIP
State	:	MI
Zip	:	48329-4435
Country	:	US
Telephone Number	:	248-653-4278
Fax Number	:

Provider Business Practice Location Address
First Line	:	1590 BALDWIN AVE
Second Line	:
City	:	AUBURN HILLS
State	:	MI
Zip	:	48340
Country	:	US
Telephone Number	:	248-338-3770
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/15/2016
Last Update Date	:	03/17/2018

Similar Medicare Providers

1538510540 — CARLYN MCINTOSH
Practice Location Address:

520 BLOOMFIELD VILLAGE BLVD , APT 24
AUBURN HILLS, MI
48326-3589

Practice Phone: 313-465-3687
Practice Fax:

1417496571 — ARELIA SUSTAITA MSW
Practice Location Address:

2399 E WALTON BLVD
AUBURN HILLS, MI
48326-1955

Practice Phone: 248-475-6400
Practice Fax:

1033970264 — SIERRA LOGAN
Practice Location Address:

2399 E WALTON BLVD
AUBURN HILLS, MI
48326-1955

Practice Phone: 248-475-6300
Practice Fax:

1467619759 — EASTERSEALS MORC HEALTH CARE, INC.
Practice Location Address:

1685 BALDWIN AVE STE A
PONTIAC, MI
48340-1242

Practice Phone: 248-706-3450
Practice Fax: 248-706-3455

1629235924 — EASTERSEALS MORC HEALTH CARE, INC.
Practice Location Address:

1685 BALDWIN AVE STE A
PONTIAC, MI
48340-1242

Practice Phone: 248-706-3450
Practice Fax: 248-706-3455

1578886743 — TRUSTED HANDS L.L.C.
Practice Location Address:

77 W RUTGERS AVE
PONTIAC, MI
48340-2757

Practice Phone: 248-390-8791
Practice Fax:

Directions to “ DR. STEPHANIE STEPHAN DDS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.