Access Dental-East Jordan, PC

NPI #1780991976 in East Jordan, Michigan

Provider Information

NPI Number: 1780991976
Entity Type: Organization
Organization Name: Access Dental-East Jordan, PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 9, 2010
Last Updated: Sep 9, 2010

Practice Location

Address: 108 S LAKE ST
City: East Jordan
State: Michigan
ZIP Code: 49727-9375
Phone: (231) 536-3307

Authorized Official

Name: MS. TRACI L ECKHARDT
Title: OFFICE MANAGER
Phone: (231) 536-3307

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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