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Organization

THIRD COAST DENTISTRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NICK STEBBINS DMD (OWNER/CHIEF OPERATIONS OFFICER)
(269) 303-2166
Entity
Organization

Contact information

Practice address
330 LOVELL ST, IONIA, MI 48846-9706
(616) 634-3068
Mailing address
201 FULTON ST W APT 1409, GRAND RAPIDS, MI 49503-2678
(269) 303-2166

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
01/25/2024
Last updated
01/25/2024
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