YAX & STEC DENTAL ASSOCIATES, PLLC (NPI# 1265628291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265628291 |
| Entity Type | Organization |
| Organization Name | YAX & STEC DENTAL ASSOCIATES, PLLC |
| Practice Address |
58144 Gratiot Ave Suite 316 New Haven MI 48048 |
| Mailing Address |
58144 Gratiot Ave Ste 316 P.o. Box 480336 New Haven MI 48048 |
| Practice Telephone | 5867493333 |
| Mailing Telephone | 5867493333 |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2011-11-15 |
| Authorized Official Name | SUSAN ANN VENTURA (OFFICE MANAGER) |
| Authorized Official Telephone | 5867493333 |
| Authorized Official Credential | MANAGER |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2901011882 | MI | Dental Providers |
| Street Address |
58144 GRATIOT AVE SUITE 316 |
| City | NEW HAVEN |
| State | MI |
| Zip Code | 48048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659352409 | Kimberly H Thompson | Family Medicine | 58144 Gratiot Ave, New Haven, MI 48048 | 2005-11-09 |
| 1770138398 | Corey Soper | Social Worker | 58144 Gratiot Ave, New Haven, MI 48048 | 2019-08-09 |
| 1285293837 | Rachael Vernon | Dentist | 58144 Gratiot Ave, New Haven, MI 48048 | 2019-06-07 |
| 1386135879 | Alisa Puvalowski | Dental Hygienist | 58144 Gratiot Ave, New Haven, MI 48048 | 2018-05-21 |
| 1013448067 | Aaron William Cloutier | Family Medicine | 58144 Gratiot Ave, New Haven, MI 48048 | 2017-03-22 |
| 1750757282 | Downriver Community Services, Inc. | Clinic/Center | 58144 Gratiot Ave, New Haven, MI 48048 | 2015-08-19 |
| 1689085268 | Downriver Community Services, Inc. | Obstetrics & Gynecology | 58144 Gratiot Ave, New Haven, MI 48048 | 2014-05-16 |
| 1295032449 | Downriver Community Services Inc | Pharmacy | 58144 Gratiot Ave, New Haven, MI 48048 | 2011-02-24 |
| 1700052438 | Katherine Tyrrell | Dietitian, Registered | 58144 Gratiot Ave, New Haven, MI 48048 | 2008-05-02 |
| 1740473362 | Kimberly Irene Vogel | Dentist | 58144 Gratiot Ave, New Haven, MI 48048 | 2007-08-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255847893 | Heather Fonville | Licensed Practical Nurse | 3201 E. Cranston, New Haven, MI 48048 | 2017-12-19 |
| 1205251295 | Adrianne Jones Steiner | Counselor | 58144 Gratiot Ave., New Haven, MI 48048 | 2014-02-27 |
| 1679773659 | Meijer Inc | Durable Medical Equipment & Medical Supplies | 36865 26 Mile Rd, Lenox, MI 48048 | 2007-07-19 |
| 1588761506 | Charles Joseph Sobers | Dentist | 58144 Gratiot, Suite #316, New Haven, MI 48048 | 2006-09-20 |
| 1679571392 | Downriver Community Services, Inc. | Clinic/Center | 58144 Gratiot Avenue, New Haven, MI 48048 | 2005-07-08 |
| 1295985802 | Chandra Lowe | Social Worker | 58144 Gratiot Avenue, New Haven, MI 48048 | 2008-09-19 |
| 1427248038 | Early Solution Clinic | Clinic/Center | 36865 26 Mile Rd, Lenox, MI 48048 | 2007-07-30 |
| 1952502569 | Debra Smith | Registered Nurse | 58144 Gratiot Avenue, New Haven, MI 48048 | 2007-05-30 |
| 1336246792 | Virginia Hartner | Registered Nurse | 58144 Gratiot Avenue, New Haven, MI 48048 | 2006-09-20 |
| 1932206398 | Doreen Mccomas | Social Worker | 58144 Gratiot Avenue, New Haven, MI 48048 | 2006-09-20 |
| Find all providers in zip 48048 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962952606 | Lodestar Dental LLC | Dentist | 474 Foxon Blvd, New Haven, CT 06513-2329 | 2016-10-05 |
| 1487019121 | L&m Family Dentistry LLC | Dentist | 136 Sherman Ave Ste 104, New Haven, CT 06511-5210 | 2015-12-23 |
| 1457767931 | Chapel Street Dental P.C. | Dentist | 806 Chapel St, New Haven, CT 06510-3104 | 2014-07-07 |
| 1982034658 | Fair Haven Dental LLC | Dentist | 214 Grand Ave, New Haven, CT 06513-3721 | 2013-11-17 |
| 1104187673 | Dr.dental of New Haven, PC | Dentist | 122 Amity Road, New Haven, CT 06515 | 2012-05-31 |
| 1427320407 | Karine Calixte | Dentist | 1 Long Wharf Dr Fl 4, New Haven, CT 06511 | 2012-02-06 |
| 1235425133 | Christopher Matthew Kinslow | Dentist | 262 Grand Ave, New Haven, CT 06513-3723 | 2011-06-20 |
| 1174853956 | Smartdental LLC | Dentist | 1045 Whalley Ave, New Haven, CT 06515-1787 | 2009-12-30 |
| 1356586234 | Regina A Niekrash | Dentist | 65 Anderson St, New Haven, CT 06511-2537 | 2008-12-08 |
| 1548472970 | Monica Alvyra Slack-haynes | Dentist | 7 Kimberly Ave, New Haven, CT 06519-2411 | 2007-05-06 |
| Find all providers in NEW HAVEN | ||||
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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.