Provider Demographics
NPI:1083771562
Name:STEFANSKI, JULIE K (DDS)
Entity Type:Individual
Prefix:DR
First Name:JULIE
Middle Name:K
Last Name:STEFANSKI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:76 AIRPORT RD
Mailing Address - Street 2:
Mailing Address - City:FRANKFORT
Mailing Address - State:MI
Mailing Address - Zip Code:49635-9692
Mailing Address - Country:US
Mailing Address - Phone:231-399-6000
Mailing Address - Fax:231-399-6002
Practice Address - Street 1:76 AIRPORT RD
Practice Address - Street 2:
Practice Address - City:FRANKFORT
Practice Address - State:MI
Practice Address - Zip Code:49635-9692
Practice Address - Country:US
Practice Address - Phone:231-399-6000
Practice Address - Fax:231-399-6002
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-03
Last Update Date:2022-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI18539122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist