| Derksen Dentistry | |
|
2410 Lake Lansing Rd Ste 2 Lansing MI 48912-3659 | |
| (517) 371-5342 | |
| Not Available |
| Full Name | Derksen Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 2410 Lake Lansing Rd Ste 2, Lansing, Michigan |
| Authorized Official Name and Position | Beth Kohn (CREDENTIALING MANAGER) |
| Authorized Official Contact | 7277769642 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Derksen Dentistry Po Box 8250 Carol Stream IL 60197-8250 Ph: (517) 394-4040 | Derksen Dentistry 2410 Lake Lansing Rd Ste 2 Lansing MI 48912-3659 Ph: (517) 371-5342 |
| NPI Number | 1760153720 |
|---|---|
| Provider Enumeration Date | 09/21/2021 |
| Last Update Date | 08/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760153720 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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