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PHIL MULDER DDS NPI 1235861600


NPI Information

NPI: 1235861600
Provider Name: PHIL MULDER DDS
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
1173 PECK ST
MUSKEGON, MI
ZIP 49441
Phone: (231) 722-2279
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PHIL MULDER DDS is a dental clinic center in Muskegon, MI. PHIL MULDER DDS NPI is 1235861600. The provider is registered as an organization entity type.

The provider's business location address is:

1173 PECK ST
MUSKEGON, MI
ZIP 49441-190
Phone: (231) 722-2279
Fax: (231) 722-2235

The provider's authorized official is Phil Mulder .
The authorized official title is Owner and has the following contact phone number (231) 722-2279.

The enumeration date for this NPI number is 6/25/2022 and was last updated on 6/25/2022.


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
1261QD0000XClinic/CenterDentalYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.