# MICHIGAN DENTAL ASSOCIATES - LANSING PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Painless Dentistry IV PC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033630975
- **Authorized official:** MARTHA J HARP (DIRECTOR OF INSURANCE OPERATIONS)
- **Authorized official phone:** (678) 372-7358

## Contact information

- **Practice address:** 1808 S PENNSYLVANIA AVE, LANSING, MI 48910-1897
- **Practice address phone:** (734) 234-6040
- **Mailing address:** 999 PEACHTREE ST NE STE 800, ATLANTA, GA 30309-4425
- **Mailing address phone:** (404) 537-5211

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 2901013819 | MI | Yes |

## Other

- **Enumeration date:** 06/30/2017
- **Last updated:** 06/30/2017
