Jennifer Malicowski, DDS

General Practice Dentistry · Grayling, MI

Individual Active NPI

NPI number 1356908206

Practice location

800 E Michigan Ave
Grayling, MI 49738-1418
Phone
(989) 344-2525

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NPI record

NPI
1356908206
Entity type
Individual (Type 1)
Enumeration date
May 28, 2019
Last updated
November 23, 2022
Certified
November 23, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 2901023181 MI

About Dr. Malicowski

Jennifer Malicowski, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 800 E Michigan Ave, Grayling, MI 49738-1418. The NPI number 1356908206 was assigned on May 28, 2019 and the record was last updated on November 23, 2022.

Dr. Malicowski lists a license in the registry: #2901023181 (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 Jennifer Malicowski, DDS?

The NPI number is 1356908206.

What is the phone number of Dr. Malicowski?

The phone number listed for the practice location is (989) 344-2525.

Where is Dr. Malicowski located?

800 E Michigan Ave, Grayling, MI 49738-1418.

What is the taxonomy code for Dr. Malicowski?

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.

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