NPI 1437428364

Northern Michigan Family Dentistry PLLC

Organisation Dentist Cheboygan, MI

Practice location

Address: 10711 N Straits Hwy, Cheboygan, MI 49721-9077
Phone: (231) 627-9352
Fax: (231) 627-9411
Mailing address: PO Box 5215, Cheboygan, MI 49721-5215

Authorised official

Name: Nicole Koenig
Title: Office Manager
Phone: (989) 732-4199

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 17226 (MI)

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Registry record

NPI: 1437428364
Entity type: Organization
NPI issued: 21 Dec 2011
Record last updated: 19 Mar 2018

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.