Gary Robert Distefano, D.D.S.

Dentist · Howell, MI

Individual Active NPI

NPI number 1972602803

Practice location

112 W Grand River Ave
Howell, MI 48843-2268
Phone
(517) 546-8983
Fax
(517) 546-1422

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NPI record

NPI
1972602803
Entity type
Individual (Type 1)
Enumeration date
September 21, 2006
Last updated
July 9, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X D011030 MI

About Dr. Distefano

Gary Robert Distefano, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 112 W Grand River Ave, Howell, MI 48843-2268. The NPI number 1972602803 was assigned on September 21, 2006 and the record was last updated on July 9, 2007.

Dr. Distefano lists a license in the registry: #D011030 (MI) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Gary Robert Distefano, D.D.S.?

The NPI number is 1972602803.

What is the phone number of Dr. Distefano?

The phone number listed for the practice location is (517) 546-8983.

Where is Dr. Distefano located?

112 W Grand River Ave, Howell, MI 48843-2268.

What is the taxonomy code for Dr. Distefano?

The primary taxonomy code is 122300000X – Dentist.

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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