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Active NPI 1205831336 Individual Practitioner Male Practitioner

Dr. Paul David Stuckey , DDS

Dentist - General Practice • Grosse Pointe Woods, MI

Professional Overview & Biography Verified Profile Summary

Dr. Paul Stuckey, DDS is a registered healthcare professional specializing in Dentist - General Practice in Grosse Pointe Woods, MI. Practice services are available at 19639 MACK AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

19639 Mack Ave

Grosse Pointe Woods, MI 482362535

Telephone 3138822575
Fax 3138818656
Associated Practice Facility / Clinic
🏢 Renee C. Miller Dds Pllc Facility NPI 1154050300

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Grosse Pointe Woods, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.8 Yrs
Regional Practice Density
15 Specialists

Practicing in Grosse Pointe Woods, MI (4360 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MI 9794

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1831242346

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 28, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location January 28, 2013

Registered at 19639 MACK AVE, GROSSE POINTE WOODS, MI 482362535 (Tel: 3138822575)

📍
Updated Business Mailing Address January 28, 2013

Registered at 19639 MACK AVE, GROSSE POINTE WOODS, MI 482362535 (Tel: 3138822575)

👤
Provider Name / Credentials Updated January 28, 2013

Recorded as PAUL STUCKEY, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 28, 2013

Dentist (License #9794 in MI)

🟢
Initial NPI Registration & Enumeration June 15, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1205831336
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 15, 2005
Last Update: January 28, 2013
Sole Proprietor: No

Mailing Address

19639 Mack Ave

Grosse Pointe Woods, MI 482362535

Phone: 3138822575

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.