| Lansing Elite Dental | |
|
4912 W St Joe Hwy Lansing MI 48917-4090 | |
| (517) 481-4170 | |
| Not Available |
| Full Name | Lansing Elite Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4912 W St Joe Hwy, Lansing, Michigan |
| Authorized Official Name and Position | Cassandra Petersen (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175408972 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lansing Elite Dental 4912 W St Joe Hwy Lansing MI 48917-4090 Ph: (517) 481-4170 | Lansing Elite Dental 4912 W St Joe Hwy Lansing MI 48917-4090 Ph: (517) 481-4170 |
| NPI Number | 1174032932 |
|---|---|
| Provider Enumeration Date | 09/25/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174032932 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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