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Mr. Stephen M Ghezzi, DDS
Pediatric Dentist in South Lyon, Michigan
NPI 1104819721

Stephen M Ghezzi is a Pediatric Dentist based in South Lyon, MI and is specialized in Pediatric Dentistry. Stephen M Ghezzi practices in South Lyon, MI and has the professional credentials of DDS. The NPI Number for Stephen M Ghezzi is 1104819721 and holds a License No. 2901017960 (Michigan).

The current practice location address for Stephen M Ghezzi is 26018 Pontiac Trl, South Lyon, MI and can be reached out via phone at 248-486-4030 and via fax at 855-778-2780.

Location: 26018 Pontiac Trl, South Lyon, MI, 48178-8050
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104819721
Provider Name
Stephen M Ghezzi
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
26018 Pontiac Trl, South Lyon, MI, 48178-8050
Phone Number
248-486-4030
Fax Number
855-778-2780
Provider Enumeration Date
08/30/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
26018 Pontiac Trl
City
South Lyon
State
Michigan
Zip
48178-8050
Phone Number
248-486-4030
Fax Number
855-778-2780
person
Provider Business Mailing Address Details
Address
26018 Pontiac Trl
City
South Lyon
State
Michigan
Zip
48178-8050
Phone Number
248-486-4030
Fax Number
855-778-2780
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
2901017960 (Michigan)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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