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TRAVERSE DENTAL ASSOCIATES PLLC NPI 1336171800


NPI Information

NPI: 1336171800
Provider Name: TRAVERSE DENTAL ASSOCIATES, PLLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
555 SOUTH GARFIELD AVE
TRAVERSE CITY, MI
ZIP 49686
Phone: (231) 947-0210
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TRAVERSE DENTAL ASSOCIATES, PLLC is a general practice dentist in Traverse City, 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. TRAVERSE DENTAL ASSOCIATES, PLLC NPI is 1336171800. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

555 SOUTH GARFIELD AVE
TRAVERSE CITY, MI
ZIP 49686-423
Phone: (231) 947-0210
Fax: (231) 947-6770

The provider's authorized official is Christopher D Mazzola .
The authorized official title is Owner and has the following contact phone number (734) 657-1854.

The enumeration date for this NPI number is 7/7/2006 and was last updated on 3/23/2022.


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 Practice12127MICHIGANNo
21223G0001XDentistGeneral Practice12516MICHIGANNo
31223G0001XDentistGeneral Practice13833MICHIGANNo
4332B00000XDurable Medical Equipment & Medical SuppliesNo
51223G0001XDentistGeneral Practice2901019122MICHIGANYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.