PETOSKEY PEDIATRIC DENTISTRY
NPI 1669839130
Clinic/Center - Dental in Petoskey, MI
Active since January 28, 2016
About Petoskey Pediatric Dentistry NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PETOSKEY PEDIATRIC DENTISTRY (NPI 1669839130) is a healthcare organization registered as a dental in Petoskey, Michigan and active in the NPI registry since January 2016. The organization lists Jane Stieber Amato, Owner, as its authorized official.
NPPES Registry Identity
NPI1669839130
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameSTIEBER PEDIATRIC DENTISTRY PLLC
Location Address2266 MITCHELL PARK DRPetoskey, MI 49770-9600
Mailing Address4530 Barber RdBoyne City, MI 49712-9723
Phone(231) 347-1830
Organization SubpartNo
Authorized OfficialJane Stieber AmatoOwner · (231) 347-1830
Enumeration DateJanuary 28, 2016
Last NPPES UpdateOctober 18, 2024
NPPES CertifiedOctober 18, 2024
✔ NPI 1669839130 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in MI · 2901021260
2266 MITCHELL PARK DR, Petoskey, MI 49770
Other Names 1
Doing Business AsPetoskey Pediatric Dentistry
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Dentist (Endodontics)
2266 MITCHELL PARK DR
PETOSKEY, MI 49770
PETOSKEY, MI 49770
Dentist (Pediatric Dentistry)
2266 MITCHELL PARK DR
PETOSKEY, MI 49770
PETOSKEY, MI 49770
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1669839130, enumerated as an "organization" on January 28, 2016.
The provider is located at 2266 MITCHELL PARK DR PETOSKEY, MI 49770 and the phone number is (231) 347-1830.
Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.
