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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. STEPHEN THERON DOEZEMA, DDS MS

Active

DR. STEPHEN THERON DOEZEMA, DDS MS is a Pediatric Dentistry healthcare provider located in GRAND RAPIDS, Michigan. NPI 1225156292 is currently active in the NPPES registry. Verify at CMS.

Pediatric Dentistry · GRAND RAPIDS, MI

Registration Details

NPI Number
1225156292
Provider Type
Individual
Gender
Male
NPI Issued
Mar 27, 2007 (19.195199418659 yrs)
Last Updated
Jul 8, 2007
License
10117 (MI)

Practice Information

Address
847 PARCHMENT DR SE
SUITE 130
GRAND RAPIDS, MI, 49546
Browse MI providers · Browse ZIP 49546
Phone
6169542288
Fax
6169542315
Primary Specialty
Pediatric Dentistry
1223P0700X

Other Pediatric Dentistry Providers in GRAND RAPIDS, MI

Name Credential NPI
DR. TIMOTHY CHARLES MOORE DDS,MSD 1679599930
DR. ROBERT GRAHAM GREENLAND DDS, MS 1003296781
REEM ABI HUSSEIN DDS 1588338263
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.