Provider Demographics
NPI:1740890839
Name:STEPHEN M. SGRAZZUTTI DDS PC
Entity type:Organization
Organization Name:STEPHEN M. SGRAZZUTTI DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:
Authorized Official - Last Name:SZYMBORSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:989-799-5660
Mailing Address - Street 1:1542 N CENTER RD
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48638-5564
Mailing Address - Country:US
Mailing Address - Phone:989-799-5660
Mailing Address - Fax:989-799-5015
Practice Address - Street 1:1542 N CENTER RD
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48638-5564
Practice Address - Country:US
Practice Address - Phone:989-799-5660
Practice Address - Fax:989-799-5015
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-04
Last Update Date:2020-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental