Individual provider · NPI-1

Dr. Roger Lee Bandeen, DDS MS

Dentist · Battle Creek, MI

NPI number1700984754
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1700984754
Entity type
Individual (NPI-1)
Name
Dr. Roger Lee Bandeen
Credential
DDS MS
Sex
Male
Sole proprietor
No
Enumeration date
Sep 20, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X DentistMI12765MIYes

Practice location

497 E Columbia Avenue
Suite 13
Battle Creek, MI 49015

Phone 269-963-4118 · Fax 269-963-4167

Mailing address

497 E Columbia Avenue
Suite 13
Battle Creek, MI 49015

Phone 269-963-4118 · Fax 269-963-4167

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