Individual
STEPHEN E. NECHVATAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD PC
Contact information
Practice address
1176 1/2 S LAPEER RD STE B, LAPEER, MI 48446-3385
(810) 667-6855
(810) 667-6875
Mailing address
1176 1/2 S LAPEER RD STE B, LAPEER, MI 48446-3385
(810) 667-6855
(810) 667-6875
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
SNO11747
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SNO11747
ORAL AND MAXILLOFACIAL SU
MI
Enumeration date
12/20/2006
Last updated
10/29/2020
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