General Dentistry PC

Dentist · Portage, MI

Organization Active NPI

NPI number 1639204852

Practice location

1522 W Centre Avenue
Portage, MI 49024
Phone
(269) 327-6765
Fax
(269) 327-1138

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NPI record

NPI
1639204852
Entity type
Organization (Type 2)
Enumeration date
February 21, 2007
Last updated
August 22, 2020
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X — —

Authorized official

Name
Dr. Robert Leon Nicola, DDS
Title
Owner
Phone
(269) 327-6765

About General Dentistry PC

General Dentistry PC is a healthcare organization registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 1522 W Centre Avenue, Portage, MI 49024. The NPI number 1639204852 was assigned on February 21, 2007 and the record was last updated on August 22, 2020.

The authorized official for this organization is Dr. Robert Leon Nicola, DDS, Owner.

Frequently asked questions

What is the NPI number of General Dentistry PC?

The NPI number is 1639204852.

What is the phone number of General Dentistry PC?

The phone number listed for the practice location is (269) 327-6765.

Where is General Dentistry PC located?

1522 W Centre Avenue, Portage, MI 49024.

What is the taxonomy code for General Dentistry 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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