Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. STEPHEN M GHEZZI, D.D.S.
Active Sole ProprietorMR. STEPHEN M GHEZZI, D.D.S. is a Pediatric Dentistry healthcare provider located in SOUTH LYON, Michigan. NPI 1104819721 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · SOUTH LYON, MI
Registration Details
- NPI Number
- 1104819721
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 30, 2005 (20.986471702232 yrs)
- Last Updated
- Oct 2, 2014
- License
-
2901017960 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
26018 PONTIAC TRLSOUTH LYON, MI, 481788050Browse MI providers · Browse ZIP 48178
- Phone
- 2484864030
- Fax
- 8557782780
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
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.