Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEAN M STOLT, RDH
ActiveDental Public Health · HARBOR SPRINGS, MI
Registration Details
- NPI Number
- 1063058097
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 25, 2019 (6.4046464770752 yrs)
- Last Updated
- Nov 25, 2019
- Licenses
-
2902012500 (MI)2901018239 (MI)
Practice Information
- Address
-
3434 M 119 STE GHARBOR SPRINGS, MI, 497409373Browse MI providers · Browse ZIP 49740
- Phone
- 2313483970
- Fax
- 2313483946
- Primary Specialty
-
Dental Public Health
1223D0001X
- Additional Specialty
- Dental Public Health
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.