Individual provider · Type 1 NPI
Suzan Marie Stacknik, DDS, M.S.
Orthodontics and Dentofacial Orthopedics Dentistry · Hancock, MI
Practice location
124 Quincy St
Hancock, MI 49930-1827
Fax (906) 482-3225
Mailing address
611 W Houghton Ave
Houghton, MI 49931-2340
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 2901011868 (MI) |
Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…
Another provider at this address
About NPI 1174675334
Suzan Marie Stacknik, DDS, M.S.'s National Provider Identifier is 1174675334, issued on Jan 17, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Hancock, MI. The record was last updated on Jul 8, 2007.