STATE STREET FAMILY DENTAL
NPI 1669604484
Dentist in Saint Johns, MI

Active since August 12, 2009
100 S SCOTT RD, SAINT JOHNS, MI 48879(989) 227-1858(989) 227-2268 Get Directions Write a Review

NPPES record last updated: August 12, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About State Street Family Dental NPPES

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

STATE STREET FAMILY DENTAL (NPI 1669604484) is a healthcare organization registered as a dentist in Saint Johns, Michigan and active in the NPI registry since August 2009. The organization lists Jennifer Nicole Osborne, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1669604484
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameSTATE STREET FAMILY DENTAL
Location Address100 S SCOTT RDSaint Johns, MI 48879-9038
Mailing Address100 S Scott RdSaint Johns, MI 48879-9038 · (989) 227-1858 · Fax (989) 227-2268
Fax(989) 227-2268
Organization SubpartNo
Authorized OfficialJennifer Nicole OsborneOffice Manager · (989) 227-1858
Enumeration DateAugust 12, 2009
NPI 1669604484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses Licensed in MI · 13188 Licensed in MI · 901013605 Licensed in MI · 2901018410 Licensed in MI · 012271 Licensed in MI · 2901019279
Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

100 S SCOTT RD, Saint Johns, MI 48879

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669604484, enumerated as an "organization" on August 12, 2009.

The provider is located at 100 S SCOTT RD SAINT JOHNS, MI 48879 and the phone number is (989) 227-1858.

Dentist with taxonomy code 122300000X.

The provider might be accepting Accepts: Blue Cross Blue Shield of Michigan Mutual. Please consult your insurance carrier or call the provider to verify.