DELLAVECCHIA DENTAL SERVICES P.C. NPI 1982836714

NPI Information

NPI: 1982836714
Provider Name: DELLAVECCHIA DENTAL SERVICES, P.C.
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
430 130TH AVE
DOUGLAS, MI
ZIP 49406
Phone: (269) 857-1431
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DELLAVECCHIA DENTAL SERVICES, P.C. is a dental clinic center in Douglas, MI. DELLAVECCHIA DENTAL SERVICES, P.C. NPI is 1982836714. The provider is registered as an organization entity type.

The provider's business location address is:

430 130TH AVE
DOUGLAS, MI
ZIP 49406-100
Phone: (269) 857-1431
Fax: (269) 857-4089

The provider's authorized official is Tracey Jean Dellavecchia .
The authorized official title is Dentist/owner and has the following contact phone number (269) 857-1431.

The enumeration date for this NPI number is 8/12/2009 and was last updated on 8/12/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	2901018649	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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