Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

State Street Family Dental

Organization Dentist · NPI 1669604484

State Street Family Dental is a Dentist 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
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