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NORTHERN MICHIGAN FAMILY DENTISTRY PLLC NPI 1215100987


NPI Information

NPI: 1215100987
Provider Name: NORTHERN MICHIGAN FAMILY DENTISTRY PLLC

Doing Business As: GAYLORD FAMILY DENTISTRY

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1507 S OTSEGO AVE STE A
GAYLORD, MI
ZIP 49735
Phone: (989) 732-4199
Get Directions

NORTHERN MICHIGAN FAMILY DENTISTRY PLLC is a general practice dentist in Gaylord, 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. NORTHERN MICHIGAN FAMILY DENTISTRY PLLC NPI is 1215100987. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Gaylord Family Dentistry.

The provider's business location address is:

1507 S OTSEGO AVE STE A
GAYLORD, MI
ZIP 49735-524
Phone: (989) 732-4199
Fax: (989) 731-6762

The provider's authorized official is Nicole Koenig .
The authorized official title is Office Manager and has the following contact phone number (989) 732-4199.

The enumeration date for this NPI number is 4/2/2008 and was last updated on 3/19/2018.


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 Practice16080MICHIGANYes

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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