Organization · NPI-2

Bandeen Orthodontics

Dentist, Orthodontics and Dentofacial Orthopedics · Battle Creek, MI

NPI number1043688013
StatusActive
Last updated in NPPESSep 9, 2015

Details

NPI
1043688013
Entity type
Organization (NPI-2)
Legal business name
Bandeen Orthodontics
Organization subpart
No
Enumeration date
Sep 9, 2015
Last updated
Sep 9, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223X0400X Dentist, Orthodontics and Dentofacial OrthopedicsL857187MIYes
122300000X DentistL2535752MI

Practice location

4602 Beckley Rd
Battle Creek, MI 49015-7932

Phone 269-963-4118 · Fax 269-963-4167

Mailing address

4602 Beckley Rd
Battle Creek, MI 49015-7932

Phone 269-963-4118 · Fax 269-963-4167

Authorized official

Timothy Charles Bandeed
Owner
2699634118

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