Dentistry by Design of Jackson, Plc

NPI #1396276333 in Jackson, Michigan

Provider Information

NPI Number: 1396276333
Entity Type: Organization
Organization Name: Dentistry by Design of Jackson, Plc
Subpart: Yes (part of a larger organization)
Parent Organization: DENTISTRY BY DESIGN OF JACKSON, PLC
Primary Specialty: Dentist
Enumeration Date: Mar 22, 2017
Last Updated: Aug 7, 2019

Practice Location

Address: 306 W WASHINGTON AVE STE 205
City: Jackson
State: Michigan
ZIP Code: 49201-2141
Phone: (517) 787-5055

Authorized Official

Name: DR. ANDREW JAMES BALAZE, D.M.D.
Title: DENTIST/OWNER
Phone: (517) 787-5055

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X
Dentist	122300000X	Primary

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