Sault Dental Association
Dentist, General Practice in Sault Sainte Marie, MI. Organization (NPI-2).
NPI number1114101318
StatusActive
Last updated in NPPESDec 24, 2007
Details
- NPI
- 1114101318
- Entity type
- Organization (NPI-2)
- Legal business name
- Sault Dental Association
- Organization subpart
- No
- Enumeration date
- Dec 24, 2007
- Last updated
- Dec 24, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 2901014320 | MI | Yes |
| 1223G0001X | Dentist, General Practice | 2901010627 | MI |
Practice location
709 Johnston StSault Sainte Marie, MI 49783-2335
Phone 906-635-6020 · Fax 906-635-7687
Mailing address
709 Johnston StSault Sainte Marie, MI 49783
Phone 906-635-6020 · Fax 906-635-7687
Authorized official
Clayton C Shunk
General Partner
9066356020
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Other General Practice Dentistry providers in Sault Sainte Marie, MI
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- Zane Aubrey Osborne, D.D.S.NPI 1508829441
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All 12 General Practice Dentistry providers in Sault Sainte Marie · All 698 providers in Sault Sainte Marie
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