Jack Lee Medemar, DDS PC

General Practice Dentistry · Flint, MI

Individual Active NPI

NPI number 1003877952

Practice location

G 4221 Corunna Road
Flint, MI 48532
Phone
(810) 732-8020
Fax
(810) 732-9356

Open in Google Maps

NPI record

NPI
1003877952
Entity type
Individual (Type 1)
Enumeration date
March 30, 2006
Last updated
April 11, 2016
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 13484 MI

Mailing address

4221 Corunna Rd
Flint, MI 48532-4316
Phone
(810) 732-8020
Fax
(810) 732-9356

About Jack Medemar

Jack Lee Medemar, DDS PC is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is G 4221 Corunna Road, Flint, MI 48532. The NPI number 1003877952 was assigned on March 30, 2006 and the record was last updated on April 11, 2016.

Jack Medemar lists a license in the registry: #13484 (MI) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jack Lee Medemar, DDS PC?

The NPI number is 1003877952.

What is the phone number of Jack Medemar?

The phone number listed for the practice location is (810) 732-8020.

Where is Jack Medemar located?

G 4221 Corunna Road, Flint, MI 48532.

What is the taxonomy code for Jack Medemar?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other General Practice Dentistry providers in Flint

All General Practice Dentistry providers in Flint, MI →