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

Q: What is State Street Family Dental's NPI number?

The NPI number for State Street Family Dental is 1669604484. It was assigned to this organization in the NPPES registry on August 12, 2009.

Q: What is State Street Family Dental's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

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: August 16, 2026.

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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

Phone(989) 227-1858

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

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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

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

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 State Street Family Dental's NPI number?

The NPI number for State Street Family Dental is 1669604484. It was assigned to this organization in the NPPES registry on August 12, 2009.

Where is State Street Family Dental located?

State Street Family Dental is located at 100 S Scott Rd, Saint Johns, MI 48879. The listed phone number is (989) 227-1858.

What is State Street Family Dental's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does State Street Family Dental accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list State Street Family Dental as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for State Street Family Dental was last updated on August 12, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.