Active NPI 1528130820 Individual Practitioner Male Practitioner

Dr. Stanley Weir Gresham , DDS

Dentist - General Practice • Ironwood, MI

Professional Overview & Biography Verified Profile Summary

Dr. Stanley Gresham, DDS is a registered healthcare professional specializing in Dentist - General Practice in Ironwood, MI. Practice services are available at 220 S SUFFOLK ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

220 S Suffolk St

Ironwood, MI 499382128

Telephone 9069322730

Fax 9069325832

Associated Practice Facility / Clinic

🏢 Stanley W. Gresham Dds Facility NPI 1992449854

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Ironwood, MI

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 15.8 Yrs

Regional Practice Density

3 Specialists

Practicing in Ironwood, 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

CMS Verified: 2022-04-26

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MI 2901011051

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

124042930 (MI)

Medicaid State Provider ID

33401100 (WI)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Business Mailing Address April 26, 2022

Registered at 212 E AURORA ST, IRONWOOD, MI 499382112 (Tel: 9069322730)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 26, 2022

Dentist (License #2901011051 in MI)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 220 S SUFFOLK ST, IRONWOOD, MI 499382128 (Tel: 9069322730)

📍

Updated Business Mailing Address July 08, 2007

Registered at 220 S SUFFOLK ST, IRONWOOD, MI 499382128 (Tel: 9069322730)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as STANLEY GRESHAM, DDS

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #2901011051 in MI)

🟢

Initial NPI Registration & Enumeration November 14, 2006

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: 1528130820

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 14, 2006

Last Update: April 26, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

212 E Aurora St

Ironwood, MI 499382112

Phone: 9069322730

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.