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BYRON CENTER FAMILY DENTAL PLLC NPI 1013363761


NPI Information

NPI: 1013363761
Provider Name: BYRON CENTER FAMILY DENTAL PLLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
4489 BYRON CENTER AVE SW
SUITE A
WYOMING, MI
ZIP 49519
Phone: (616) 534-8554
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BYRON CENTER FAMILY DENTAL PLLC is a general practice dentist in Wyoming, MI. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. BYRON CENTER FAMILY DENTAL PLLC NPI is 1013363761. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4489 BYRON CENTER AVE SW
SUITE A
WYOMING, MI
ZIP 49519-804
Phone: (616) 534-8554
Fax: (616) 534-8063

The provider's authorized official is Denise Hendrie .
The authorized official title is Office Manager and has the following contact phone number (231) 865-6945.

The enumeration date for this NPI number is 5/12/2016 and was last updated on 5/12/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice29010020645MICHIGANNo
21223G0001XDentistGeneral Practice5315070576MICHIGANNo
31223G0001XDentistGeneral Practice18853MICHIGANYes

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: 4/28/2024

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