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Pannaporn Stephenson, DDS
NPI 1104491380 · Dentist · Stillwater, MN
Pannaporn Stephenson, DDS is a Dentist provider in Stillwater, MN (NPI 1104491380).
Provider details
- NPI number
- 1104491380
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- License
- D14550 (MN)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
13173 60th St N
Stillwater, MN 55082-1056
Phone: (651) 321-1007
Street-level locationGet directions
Mailing address
621 9th Ave Nw
New Brighton, MN 55112-4241
Registry dates
- Enumerated
- 2021-05-20
- Last updated
- 2022-07-06
- Certified
- 2022-01-25
Frequently asked questions
- What is Pannaporn Stephenson's NPI number?
- Pannaporn Stephenson's National Provider Identifier (NPI) is 1104491380, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Pannaporn Stephenson's specialty?
- Pannaporn Stephenson is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Pannaporn Stephenson located?
- Pannaporn Stephenson's practice location on file with NPPES is 13173 60th St N, Stillwater, MN 55082-1056.
- What is Pannaporn Stephenson's phone number?
- The practice phone number listed in the NPPES registry for Pannaporn Stephenson is (651) 321-1007.
- Is Pannaporn Stephenson's NPI active?
- Yes — Pannaporn Stephenson's NPI (1104491380) is active in the NPPES registry as of the last update on 2022-07-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.