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MARY BERNONA STEVENS DDS, PLLC
NPI 1528678364
Clinic/Center - Dental in Grand Rapids, MI

Active since August 06, 2020
1172 NIXON AVE NW, GRAND RAPIDS, MI 49534(616) 453-0644(616) 453-0646 Get Directions Write a Review

NPPES record last updated: August 6, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mary Bernona Stevens Dds, Pllc NPPES

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

MARY BERNONA STEVENS DDS, PLLC (NPI 1528678364) is a healthcare organization registered as a dental in Grand Rapids, Michigan and active in the NPI registry since August 2020. The organization lists Mary Bernona Stevens, Owner, as its authorized official.

NPPES Registry Identity

NPI1528678364
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameMARY BERNONA STEVENS DDS, PLLC
Location Address1172 NIXON AVE NWGrand Rapids, MI 49534-3638
Mailing Address1172 Nixon Ave NwGrand Rapids, MI 49534-3638 · (616) 453-0644 · Fax (616) 453-0646
Phone(616) 453-0644
Fax(616) 453-0646
Organization SubpartNo
Authorized OfficialMary Bernona StevensOwner · (616) 560-5740
Enumeration DateAugust 6, 2020
NPPES CertifiedAugust 6, 2020
✔ NPI 1528678364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
1172 NIXON AVE NW, Grand Rapids, MI 49534
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Other Providers at the Same Location NPPES

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

DR. KEVIN JOHN STEVENS D.D.S.
Dentist (General Practice)
1172 NIXON AVE NW
GRAND RAPIDS, MI 49534
Ottawa County (616) 453-0644

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 Mary Bernona Stevens Dds, PLLC's NPI number?

The NPI number for Mary Bernona Stevens Dds, PLLC is 1528678364. It was assigned to this organization in the NPPES registry on August 6, 2020.

Where is Mary Bernona Stevens Dds, PLLC located?

Mary Bernona Stevens Dds, PLLC is located at 1172 Nixon Ave NW, Grand Rapids, MI 49534. The listed phone number is (616) 453-0644.

What is Mary Bernona Stevens Dds, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Mary Bernona Stevens Dds, PLLC was last updated on August 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.