Individual
MICHAEL SEAN STUBBLEFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
635 N ERIE ST, BILLING OFFICE MNGR, TOLEDO, OH 43604
(419) 213-4049
(419) 213-4017
Mailing address
635 N ERIE ST, BILLING OFFICE MNGR, TOLEDO, OH 43604
(419) 213-4049
(419) 213-4017
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30-021602
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01546670
UNITED CONCORDIA DENTAL
OH
01
—
10246
PARAMOUNT HEALTH
OH
01
—
600972
BUCKEYE COMMUNITY HEALTH
OH
05
—
8822331
—
OH
01
—
9175730
DORAL DENTAL
OH
Enumeration date
06/30/2006
Last updated
07/09/2007
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