Sally A Stommen, DDS is a
Dentist - General Practice based in Grass Lake, Michigan. Sally A Stommen is licensed to practice in Michigan (license number 12850) and her current practice location is
11745 E Michigan Ave, Grass Lake, Michigan. She can be reached at her office (for appointments etc.) via phone at
(517) 522-5018.
NPI number for Sally A Stommen is 1871566612 and her current mailing address is 11745 E Michigan Ave, P.o. Box 275, Grass Lake, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1871566612.
Healthcare Provider's Profile
Full Name | Sally A Stommen |
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Gender | Female |
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Speciality | Dentist - General Practice |
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Location | 11745 E Michigan Ave, Grass Lake, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1871566612
- Provider Enumeration Date: 02/10/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Sally A Stommen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1871566612 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 12850 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sally A Stommen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Sally A Stommen, DDS 11745 E Michigan Ave, P.o. Box 275, Grass Lake, MI 49240-9219 Ph: (517) 522-5018 | Sally A Stommen, DDS 11745 E Michigan Ave, Grass Lake, MI 49240-9219 Ph: (517) 522-5018 |
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