1477162006 NPI number — SABINA KURTOVIC STOLARCZYK DDS

Table of content: SABINA KURTOVIC STOLARCZYK DDS (NPI 1477162006)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1477162006 NPI number — SABINA KURTOVIC STOLARCZYK DDS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
STOLARCZYK
Provider First Name:
SABINA
Provider Middle Name:
KURTOVIC
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
DDS
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
KURTOVIC
Provider Other First Name:
SABINA
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
DDS
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1477162006
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/13/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
14440 ALPENA DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
STERLING HEIGHTS
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
48313-4306
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
586-354-1280
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
25631 GRATIOT AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ROSEVILLE
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48066-4434
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
586-354-1280
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/29/2020

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1223G0001X , with the licence number:  2901600625 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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