OrganizationActive
Copper Country Orthodontist, P.C.
NPI 1417009259 · Orthodontics and Dentofacial Orthopedics Dentistry · Hancock, MI
Provider details
- NPI number
- 1417009259
- Entity type
- Organization
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Suazn Stacknik, President Owner(906) 482-0015
- License
- 2901011868 (MI)
Specialties & taxonomies
Dental Providers
Practice location
124 Quincy St
Hancock, MI 49930-1827
Phone: (906) 482-0015
Fax: (906) 482-3225
Approximate (ZIP-level) locationGet directions
Mailing address
124 Quincy St
Hancock, MI 49930-1827
Registry dates
- Enumerated
- 2007-01-18
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.