NPI 1033630975

Michigan Dental Associates - Lansing PC

Organisation General Practice Dentistry Lansing, MI

Practice location

Address: 1808 S Pennsylvania Ave, Lansing, MI 48910-1897
Phone: (734) 234-6040
Mailing address: 999 Peachtree St NE STE 800, Atlanta, GA 30309-4425

Authorised official

Name: Martha J Harp
Title: Director of Insurance Operations
Phone: (678) 372-7358

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 2901013819 (MI)

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Registry record

NPI: 1033630975
Entity type: Organization
NPI issued: 30 Jun 2017
Record last updated: 30 Jun 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.