STATE STREET SMILES PLLC NPI 1659123040

NPI Information

  • NPI: 1659123040
  • Provider Name: STATE STREET SMILES PLLC
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 300 S STATE ST STE 2
    ZEELAND, MI
    ZIP 49464
  • Phone: (616) 322-5491

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NPI Details

STATE STREET SMILES PLLC is a dental clinic center in Zeeland, MI. STATE STREET SMILES PLLC NPI is 1659123040. The provider is registered as an organization entity type.

The provider's business location address is:

300 S STATE ST STE 2
ZEELAND, MI
ZIP 49464-677
Phone: (616) 322-5491

The provider's authorized official is Austin Robert Stebbins .
The authorized official title is Owner/president/ceo and has the following contact phone number (616) 322-5491.

The enumeration date for this NPI number is 4/1/2024 and was last updated on 4/1/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDentalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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