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

Individual provider General Practice Dentistry · NPI 1003819004

Dr. Mary Bernona Stevens, DDS is a General Practice Dentistry in Grand Rapids, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2005
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

1172 Nixon Ave NW
Grand Rapids, MI 49544-3638
Phone: (616) 453-0644
Fax: (616) 453-0640
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 12849 (MI)

Record details

NPI number1003819004
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorYes
NPI enumeratedMay 23, 2005
Last updated in NPPESJuly 8, 2007

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