Ouderkirk Dental PLLC
Dentist, General Practice in Grand Ledge, MI. Organization (NPI-2).
NPI number1003573403
StatusActive
Last updated in NPPESNov 19, 2021
Details
- NPI
- 1003573403
- Entity type
- Organization (NPI-2)
- Legal business name
- Ouderkirk Dental PLLC
- Organization subpart
- No
- Enumeration date
- Nov 19, 2021
- Certification date
- Nov 19, 2021
- Last updated
- Nov 19, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Practice location
11970 Sweetwater DrGrand Ledge, MI 48837-8199
Phone 517-627-2470
Mailing address
1028 Grenoble CirLansing, MI 48917-4811
Phone 517-917-1836
Authorized official
Evan Ouderkirk
Member
5179171836
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Other General Practice Dentistry providers in Grand Ledge, MI
- Nicole EastNPI 1104312263
- David James Harkema, D.M.D.NPI 1710163597
- Evan David Ouderkirk, DDSNPI 1790308492
- Philip R Shriner, DDSNPI 1972553519
- Dennis J. Sullivan, D.D.S.NPI 1932204542
- David Edward Szczesny, D.D.S.NPI 1164608287
- Edward Patrick Troshak, D.D.S.NPI 1245263375
All 8 General Practice Dentistry providers in Grand Ledge · All 259 providers in Grand Ledge
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