NPI 1104819721
Stephen M Ghezzi, DDS
Practice location
- Address
- 26018 Pontiac Trl, South Lyon, MI 48178-8050
- Phone
- (248) 486-4030
- Fax
- (855) 778-2780
Registered specialties
Pediatric Dentistry
Primary
Registry record
- NPI
- 1104819721
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 30 Aug 2005
- Record last updated
- 2 Oct 2014
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.