Paul David Stuckey, D.D.S.

General Practice Dentistry · Grosse Pointe Woods, MI

Individual Active NPI

NPI number 1205831336

Practice location

19639 Mack Ave
Grosse Pointe Woods, MI 48236-2535
Phone
(313) 882-2575
Fax
(313) 881-8656

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NPI record

NPI
1205831336
Entity type
Individual (Type 1)
Enumeration date
June 15, 2005
Last updated
January 28, 2013
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 9794 MI

About Dr. Stuckey

Paul David Stuckey, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 19639 Mack Ave, Grosse Pointe Woods, MI 48236-2535. The NPI number 1205831336 was assigned on June 15, 2005 and the record was last updated on January 28, 2013.

Dr. Stuckey lists a license in the registry: #9794 (MI) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Paul David Stuckey, D.D.S.?

The NPI number is 1205831336.

What is the phone number of Dr. Stuckey?

The phone number listed for the practice location is (313) 882-2575.

Where is Dr. Stuckey located?

19639 Mack Ave, Grosse Pointe Woods, MI 48236-2535.

What is the taxonomy code for Dr. Stuckey?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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