# STINES DENTAL ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265603757
- **Authorized official:** MICHELLE ANNE STINES DDS (PRESIDENT)
- **Authorized official phone:** (517) 552-9210

## Contact information

- **Practice address:** 24450 EVERGREEN RD, SUITE101, SOUTHFIELD, MI 48075-5518
- **Practice address phone:** (248) 350-3366
- **Mailing address:** 24450 EVERGREEN RD, SUITE101, SOUTHFIELD, MI 48075-5518
- **Mailing address phone:** (248) 350-3366

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0700X | Prosthodontics | 2901009380 | MI | Yes |

## Other

- **Enumeration date:** 03/12/2008
- **Last updated:** 03/12/2008