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 |
|---|
| Gender | Female |
|---|
| Speciality | Dentist - General Practice |
|---|
| Location | 11745 E Michigan Ave, Grass Lake, Michigan |
|---|
| 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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