Elise Chantel Soulliere, DDS

General Practice Dentistry · Kimball, MI

Individual Active NPI

NPI number 1639699010

Practice location

2837 Stable Dr
Kimball, MI 48074-1441
Phone
(810) 985-3301

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NPI record

NPI
1639699010
Entity type
Individual (Type 1)
Enumeration date
June 26, 2017
Last updated
June 26, 2017
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 2901022358 MI

Mailing address

2222 Court St
Port Huron, MI 48060-4938
Phone
(810) 841-8966

About Dr. Soulliere

Elise Chantel Soulliere, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 2837 Stable Dr, Kimball, MI 48074-1441. The NPI number 1639699010 was assigned on June 26, 2017 and the record was last updated on June 26, 2017.

Dr. Soulliere lists a license in the registry: #2901022358 (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 Elise Chantel Soulliere, DDS?

The NPI number is 1639699010.

What is the phone number of Dr. Soulliere?

The phone number listed for the practice location is (810) 985-3301.

Where is Dr. Soulliere located?

2837 Stable Dr, Kimball, MI 48074-1441.

What is the taxonomy code for Dr. Soulliere?

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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