# CAROLYN S WAY DDS PC

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

## Provider details

- **NPI number:** 1699889618
- **Authorized official:** DR. CAROLYN STEHR WAY DDS (OWNER PRESIDENT)
- **Authorized official phone:** (248) 647-1144

## Contact information

- **Practice address:** 751 CHESTNUT ST, SUITE 103, BIRMINGHAM, MI 48009-6461
- **Practice address phone:** (248) 647-1144
- **Practice address fax:** (248) 647-0380
- **Mailing address:** 751 CHESTNUT ST, SUITE 103, BIRMINGHAM, MI 48009-6461
- **Mailing address phone:** (248) 647-1144
- **Mailing address fax:** (248) 647-0380

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 13531 | MI | Yes |

## Other

- **Enumeration date:** 08/18/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3032222 | — | MI |