Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

State Street Family Dental

Organization Dentist · NPI 1669604484

State Street Family Dental provides Dentist services in Saint Johns, Michigan. Licensed in Michigan. Registered with an NPI since 2009.

Licensed in
MI
In the registry since
2009
Specialties on file
5

Practice location Address checks out

100 S Scott Rd
Saint Johns, MI 48879-9038 Not confirmed with CMS for 17 years — call before visiting
Phone: (989) 227-1858
Fax: (989) 227-2268
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 13188 (MI)
Dentist Taxonomy 122300000X · Licence 901013605 (MI)
Dentist Taxonomy 122300000X · Licence 2901018410 (MI)
Dentist Taxonomy 122300000X · Licence 012271 (MI)
Dentist Taxonomy 122300000X · Licence 2901019279 (MI)

Record details

NPI number1669604484
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Osborne — Office Manager · (989) 227-1858
NPI enumeratedAugust 12, 2009
Last updated in NPPESAugust 12, 2009
Mailing address100 S Scott Rd, Saint Johns, MI 48879-9038

Other providers in Saint Johns