Provider Demographics
NPI:1831084698
Name:STONE, GRACE (DDS)
Entity type:Individual
Prefix:DR
First Name:GRACE
Middle Name:
Last Name:STONE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:MS
Other - First Name:GRACE
Other - Middle Name:
Other - Last Name:WIELFAERT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:703 ELK RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:DUNDEE
Mailing Address - State:MI
Mailing Address - Zip Code:48131-9571
Mailing Address - Country:US
Mailing Address - Phone:517-215-0415
Mailing Address - Fax:
Practice Address - Street 1:875 WESTMORELAND AVE
Practice Address - Street 2:
Practice Address - City:NAPOLEON
Practice Address - State:OH
Practice Address - Zip Code:43545-1260
Practice Address - Country:US
Practice Address - Phone:877-478-0988
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-11
Last Update Date:2025-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0.028071122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist