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HOUGHTON LAKE FAMILY DENTISTRY NPI 1023734639


NPI Information

NPI: 1023734639
Provider Name: HOUGHTON LAKE FAMILY DENTISTRY
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
9260 W LAKE CITY RD
HOUGHTON LAKE, MI
ZIP 48629
Phone: (989) 422-4099
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HOUGHTON LAKE FAMILY DENTISTRY is a general practice dentist in Houghton Lake, MI. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. HOUGHTON LAKE FAMILY DENTISTRY NPI is 1023734639. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9260 W LAKE CITY RD
HOUGHTON LAKE, MI
ZIP 48629-902
Phone: (989) 422-4099

The provider's authorized official is Robert Joseph Pacella .
The authorized official title is Owner/dentist and has the following contact phone number (989) 965-0395.

The enumeration date for this NPI number is 10/14/2022 and was last updated on 10/14/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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