Fda PC

Dentist · Fenton, MI

Organization Active NPI

NPI number 1295805026

Practice location

1535 N Leroy
F
Fenton, MI 48430
Phone
(810) 629-5454
Fax
(810) 629-8932

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NPI record

NPI
1295805026
Entity type
Organization (Type 2)
Enumeration date
November 9, 2006
Last updated
August 22, 2020
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 2901017712 MI

Authorized official

Name
Dr. Julie Kathleen Lezotte
Title
Owner
Phone
(810) 629-5454

Other names

  • Fenton Dental Associates

About Fda PC

Fda PC is a healthcare organization registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 1535 N Leroy, F, Fenton, MI 48430. The NPI number 1295805026 was assigned on November 9, 2006 and the record was last updated on August 22, 2020.

Fda PC lists a license in the registry: #2901017712 (MI) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. Julie Kathleen Lezotte, Owner.

Frequently asked questions

What is the NPI number of Fda PC?

The NPI number is 1295805026.

What is the phone number of Fda PC?

The phone number listed for the practice location is (810) 629-5454.

Where is Fda PC located?

1535 N Leroy, F, Fenton, MI 48430.

What is the taxonomy code for Fda PC?

The primary taxonomy code is 122300000X – Dentist.

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.

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