Whalio Doctors

NPI 1104819721

Stephen M Ghezzi, DDS

Practitioner Pediatric Dentistry South Lyon, MI

Practice location

Address
26018 Pontiac Trl, South Lyon, MI 48178-8050
Phone
(248) 486-4030
Fax
(855) 778-2780

Registered specialties

Pediatric Dentistry Primary
Dental Providers Taxonomy 1223P0221X Licence 2901017960 (MI)

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.