Davison Family Dentistry, P.C.

Organization Active NPI General Practice Dentistry · Davison, MI

NPI 1033589734 · NPPES record last updated Oct 7, 2015

Key facts

NPI
1033589734
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
Legal business name
DAVISON FAMILY DENTISTRY, P.C.
Practice address
1058 N Irish Rd
Davison, MI 48423-2209
Phone
(810) 653-4100
NPI assigned
Oct 7, 2015
Organization subpart
No

Authorized official

Name
John Wiltz, D.D.S.
Title
President
Phone
(770) 916-5031

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist
Group: 193200000X MULTI-SPECIALTY GROUP
122300000X
Endodontics
Group: 193200000X MULTI-SPECIALTY GROUP
1223E0200X
General Practice Dentistry
Group: 193200000X MULTI-SPECIALTY GROUP
1223G0001X Yes
Oral and Maxillofacial Surgery (Dentist)
Group: 193200000X MULTI-SPECIALTY GROUP
1223S0112X
Orthodontics and Dentofacial Orthopedics Dentistry
Group: 193200000X MULTI-SPECIALTY GROUP
1223X0400X

Addresses

Primary practice location

1058 N Irish Rd
Davison, MI 48423-2209

Mailing address

1090 Northchase Pkwy SE
Ste 150
Marietta, GA 30067-6405
Phone (770) 916-5031

Other names

  • Irish Road Dental Doing business as

Other providers in Davison, MI

All providers in Davison, MI · General Practice Dentistry in Michigan

Sources for this page

Verify at the official NPI Registry.