| Purpose Professional Pllc | |
|
45520 Tyler Rd Van Buren Twp MI 48111-1717 | |
| (734) 335-8000 | |
| Not Available |
| Full Name | Purpose Professional Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 45520 Tyler Rd, Van Buren Twp, Michigan |
| Authorized Official Name and Position | Nicholas Kizy (DENTIST) |
| Authorized Official Contact | 7343358000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Purpose Professional Pllc 45520 Tyler Rd Van Buren Twp MI 48111-1717 Ph: (734) 335-8000 | Purpose Professional Pllc 45520 Tyler Rd Van Buren Twp MI 48111-1717 Ph: (734) 335-8000 |
| NPI Number | 1316647738 |
|---|---|
| Provider Enumeration Date | 03/06/2023 |
| Last Update Date | 10/03/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316647738 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |