DR. MICHAEL STERN (NPI# 1083852149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083852149 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL STERN |
| Credential | D.M.D, PHD |
| Practice Address |
1160 Alpine Ln Suite 1d Jackson WY 83001 |
| Mailing Address |
Po Box 9339 Jackson WY 83002-9339 |
| Practice Telephone | 3077398611 |
| Practice Fax Number | 3077398613 |
| Mailing Telephone | 3077398611 |
| Mailing Fax Number | 3077398613 |
| Enumeration Date | 2009-01-28 |
| Last Update Date | 2009-01-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
1037 | WY | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | 119386400 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265080832 | Michael Ellis Stern | Nurse Practitioner | 46 Barnes St, Providence, RI 02906-1502 | 2019-08-27 |
| 1295211555 | Michael Stern | Case Manager/Care Coordinator | 1540 S Jefferson St, Casper, WY 82601-4433 | 2018-07-19 |
| 1487996880 | Michael G Stern | Rehabilitation Counselor | 12805 34th Ave N, Plymouth, MN 55441-2236 | 2013-03-23 |
| 1417289505 | Michael Zale Stern | Massage Therapist | 424 W James Lee Blvd, Crestview, FL 32536-2638 | 2010-02-01 |
| 1881921021 | Michael Adam Stern | Marriage & Family Therapist | 1550 S Potomac St Ste 133, Aurora, CO 80012-5442 | 2009-11-09 |
| 1871703769 | Michael David Stern | Dentist | 34500 Chardon Rd Ste 1, Willoughby Hills, OH 44094-8239 | 2007-05-22 |
| 1730307018 | Michael Harmon Stern | Urology | 1117 Nw 201st St, Shoreline, WA 98177-2142 | 2007-04-23 |
| 1295892370 | Michael Jay Stern | Social Worker | 2917 Pacific Ave, Ste. 106, Everett, WA 98201-5307 | 2007-01-02 |
| 1588648471 | Michael Stern | Psychologist | 401 W End Ave, New York, NY 10024-5724 | 2005-12-03 |
| 1356338420 | Michael H Stern | Dentist | 5959 West Loop S, Ste 640, Bellaire, TX 77401-2421 | 2005-10-04 |
| Street Address |
1160 ALPINE LN SUITE 1D |
| City | JACKSON |
| State | WY |
| Zip Code | 83001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861006108 | Anne Kathleen Milburn | Physical Therapist | 3620 S Park Drive, Jackson, WY 83001 | 2020-09-03 |
| 1568009637 | Katherine Pringle Ford | Case Manager/Care Coordinator | 2065 E. Limber Pine Road, Jackson, WY 83001 | 2019-12-07 |
| 1043878408 | Cossette Burnham | Physical Therapist | Four Pines Physical Therapy, 1090 S Hwy 89, Jackson, WY 83001 | 2019-05-31 |
| 1982169371 | Cynthia Buck Huyffer | Social Worker | 755a Cache Creek Drive, Jackson, WY 83001 | 2019-02-10 |
| 1093281594 | Lara Cilo | Speech-Language Pathologist | 1300 W. Valley Springs Road, Jackson, WY 83001 | 2018-10-23 |
| 1740776202 | Teton Oral and Maxillofacial Surgery | Dentist | 1160 Alpine Ln Ste 1d, Jackson, WY 83001 | 2018-07-09 |
| 1437642055 | Anna Yanchek | Physical Therapist | 1090 Us- 89, Jackson Hole, WY 83001 | 2018-06-08 |
| 1891200762 | Tyler Ross Wright | Chiropractor | 1325 Us-89, Suite 108, Jackson, WY 83001 | 2017-12-13 |
| 1073027280 | Root To Rise Counseling and Consulting, Pllc | Social Worker | 2033 Dandelion Court, Jackson, WY 83001 | 2017-11-27 |
| 1962923912 | Piper Worthington | Social Worker | 1910 High School Rd, Jackson, WY 83001 | 2017-06-29 |
| Find all providers in zip 83001 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639792450 | Dr Riley PC | Dentist | 1325 S Hwy 89 Apt 105, Jackson, WY 83001-8293 | 2020-05-27 |
| 1740776202 | Teton Oral and Maxillofacial Surgery | Dentist | 1160 Alpine Ln Ste 1d, Jackson, WY 83001 | 2018-07-09 |
| 1144481961 | Nathan James Ostler | Dentist | 688 Brewers Bridge Rd, Jackson, NJ 08527-2017 | 2008-06-24 |
| 1437370988 | Kyle Tanner Hunt | Dentist | 971 Lakeland Dr Ste 952, Jackson, MS 39216-4609 | 2007-05-01 |
| 1215009980 | Rodney Arnell Hunt | Dentist | 971 Lakeland Dr Ste 600, Jackson, MS 39216-4608 | 2006-11-15 |
| 1225123078 | Cynthia A Rider | Dentist | 2545 Spring Arbor Rd., Suite 202, Jackson, MI 49203 | 2006-10-04 |
| 1609960749 | Maxillofacial Surgery Center of Central Mississippi | Dentist | 266 Katherine Dr, Jackson, MS 39232-8801 | 2006-10-03 |
| 1134224116 | Jerry B Booth | Dentist | 683 Robinson Rd, Jackson, MI 49203-1155 | 2006-09-14 |
| 1164430971 | Teton Oral & Maxillofacial Surgery | Dentist | 1160 Alpine Lane, #1d, Jackson, WY 83002 | 2006-08-04 |
| 1497732861 | John Walton Crowder | Dentist | 39 Murray Guard Dr, Jackson, TN 38305-3610 | 2005-12-28 |
| Find all providers in JACKSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.