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Madeline Micheline Stead, DDS

Dentist in Saint Paul, MN. Individual provider (NPI-1).

NPI number1104486752
StatusActive
Last updated in NPPESSep 23, 2026

Details

NPI
1104486752
Entity type
Individual (NPI-1)
Name
Madeline Micheline Stead
Credential
DDS
Sex
Female
Sole proprietor
No
Enumeration date
Jun 17, 2019
Certification date
Sep 23, 2026
Last updated
Sep 23, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X DentistD14842MNYes

Practice location

960 Grand Ave
Saint Paul, MN 55105-3014

Phone 651-291-9667

Mailing address

6256 62nd St S
Cottage Grove, MN 55016-4699

Phone 612-618-8524

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