Individual
MR. PAUL RICHARD STERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
106 LOCUST, BIGRAPIDS, MI 49307
(231) 796-8770
(231) 796-4427
Mailing address
106 LOCUST, BIGRAPIDS, MI 49307
(231) 796-8770
(231) 796-4427
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901018859
MI
1223G0001X
General Practice Dentistry
901018859
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
846910
UNITED CONCORDIA
MI
01
—
D801041
BCBS OF MI
MI
Enumeration date
07/20/2006
Last updated
09/15/2008
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