STEPHANIE LICA RDH, BSDH
NPI 1457077828
Dental Hygienist in Detroit, MI

Active since October 17, 2022
2700 MARTIN LUTHER KING JR BLVD, DETROIT, MI 48208(313) 494-6939 Get Directions Write a Review

NPPES record last updated: October 17, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Stephanie Lica Rdh, Bsdh NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHANIE LICA RDH, BSDH (NPI 1457077828) is an individual dental hygienist in Detroit, Michigan and active in the NPI registry since October 2022.

NPPES Registry Identity

NPI1457077828
Entity TypeIndividualFemale
Primary Taxonomy124Q00000X
Provider Legal NameSTEPHANIE LICACredential: RDH, BSDH
Location Address2700 MARTIN LUTHER KING JR BLVDDetroit, MI 48208-2576
Mailing Address38415 Lancaster StLivonia, MI 48154-1523 · (734) 536-0618
Sole ProprietorNo
Enumeration DateOctober 17, 2022
NPPES CertifiedOctober 6, 2022
NPI 1457077828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDental HygienistDental Providers
Taxonomy Code124Q00000X
Definition
An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
2700 MARTIN LUTHER KING JR BLVD, Detroit, MI 48208

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
2700 MARTIN LUTHER KING JR BLVD
DETROIT, MI 48208
Dentist
2700 MARTIN LUTHER KING JR BLVD
DETROIT, MI 48208
Dentist (Periodontics)
2700 MARTIN LUTHER KING JR BLVD
DETROIT, MI 48208
Dentist (Orthodontics and Dentofacial Orthopedics)
2700 MARTIN LUTHER KING JR BLVD
DETROIT, MI 48208
Student in an Organized Health Care Education/Training Program
2700 MARTIN LUTHER KING JR BLVD
DETROIT, MI 48208
Student in an Organized Health Care Education/Training Program
2700 MARTIN LUTHER KING JR BLVD
DETROIT, MI 48208
Dentist (Periodontics)
2700 MARTIN LUTHER KING JR BLVD
DETROIT, MI 48208
Dentist
2700 MARTIN LUTHER KING JR BLVD
DETROIT, MI 48208

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephanie Lica's NPI number?

The NPI number for Stephanie Lica is 1457077828. It was assigned to this individual provider in the NPPES registry on October 17, 2022.

Where is Stephanie Lica located?

Stephanie Lica practices at 2700 Martin Luther King Jr Blvd, Detroit, MI 48208. The listed phone number is (313) 494-6939.

What is Stephanie Lica's specialty?

The primary specialty registered for this NPI is Dental Hygienist with taxonomy code 124Q00000X.

When was this NPI record last updated?

The NPPES record for Stephanie Lica was last updated on October 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.