Doctor profile · Federal record
Dr. Mary Stevens, D.D.S
General Practice Dentistry · Grand Rapids, MI
- NPI 1003819004
- 21 yrs on file
- Female
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
1172 Nixon Ave Nw
Grand Rapids, MI 495443638
(616) 453-0644
fax (616) 453-0640 - Mailing address
-
1172 Nixon Ave Nw
Grand Rapids, MI 495343638
Credentials & registration
- NPI registered
- May 2005 — 21 yrs on file
- Profile last updated
- July 8, 2007
- Specialty taxonomy
- 1223G0001X — NUCC code
- State license (1)
- Michigan #12849
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1003819004. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$94
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Ultradent Products Inc | 1 | $93.98 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
36
Patients
33
Total drug cost
$122
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amoxicillin | Generic | 36 | 33 | $122 |
Frequently asked questions
What is Dr. Mary Stevens's medical specialty?
Dr. Mary Stevens practices General Practice Dentistry in Grand Rapids, MI.
Where does Dr. Mary Stevens practice?
Dr. Mary Stevens practices at 1172 Nixon Ave Nw, Grand Rapids, MI 495443638. Office phone: 6164530644.
What is Dr. Mary Stevens's NPI?
Dr. Mary Stevens's National Provider Identifier (NPI) is 1003819004, issued by NPPES.