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

Dr. Pannaporn Stephenson, DDS

Individual provider Dentist · NPI 1104491380

Dr. Pannaporn Stephenson, DDS is a Dentist in Stillwater, Minnesota. Licensed in Minnesota. Registered with an NPI since 2021.

Licensed in
MN
In the registry since
2021
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

13173 60th St N
Stillwater, MN 55082-1056
Phone: (651) 321-1007
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D14550 (MN)

Record details

NPI number1104491380
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedMay 20, 2021
Last updated in NPPESJuly 6, 2022
Certification dateJanuary 25, 2022
Mailing address621 9th Ave Nw, New Brighton, MN 55112-4241

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