Yale Main Street Dentistry, PLLC
Organization Active NPI General Practice Dentistry · Yale, MI
NPI 1922575901 · NPPES record last updated Apr 11, 2024
Key facts
- NPI
- 1922575901
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- Legal business name
- YALE MAIN STREET DENTISTRY, PLLC
- Practice address
- 210 S Main St
Yale, MI 48097-3319 - Phone
- (810) 387-4746
- NPI assigned
- Oct 29, 2018
- Organization subpart
- No
Authorized official
- Name
- Jeremy Parrott, DDS
- Title
- Member
- Phone
- (248) 875-7269
Practitioners 1
-
Jeremy Derik Parrott, D.D.S.
National Provider Directory
Locations
210 S Main St
Yale, MI 48097
Phone (248) 971-4348
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | Yes | ||
| Dental Clinic/Center | 261QD0000X |
Addresses
Primary practice location
210 S Main St
Yale, MI 48097-3319
Mailing address
6962 Lakeport Dr
Lakeport, MI 48059-2209
Phone (810) 545-8215
Other practice location 1
6962 Lakeport Dr
Lakeport, MI 48059-2209
Phone (810) 545-8215
Other providers in Yale, MI
- Elizabeth Ann Vinckier
- Mary L. Vinckier
- Kathleen P Willing
- Yale Family Care PLLC
- Yale Family Roots PLLC
All providers in Yale, MI · General Practice Dentistry in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 11, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.