# STEPHEN E NECHVATAL DMD PC

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

## Provider details

- **NPI number:** 1316185150
- **Authorized official:** MRS. BRENDA ANN LAUDERBAUGH (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (810) 667-6855

## Contact information

- **Practice address:** 1176 1/2 S LAPEER RD, STE B, LAPEER, MI 48446-3098
- **Practice address phone:** (810) 667-6855
- **Practice address fax:** (810) 667-6875
- **Mailing address:** 1176 1/2 S LAPEER RD, STE B, LAPEER, MI 48446-3098
- **Mailing address phone:** (810) 667-6855
- **Mailing address fax:** (810) 667-6875

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 11747 | OH | Yes |

## Other

- **Enumeration date:** 02/02/2009
- **Last updated:** 12/14/2011
