# FERRIS STATE UNIVERSITY DENTAL HYGIENE CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053405258
- **Authorized official:** MR. RICHARD P DUFFETT (VP OF ADMIN & FINANCE)
- **Authorized official phone:** (231) 591-2150

## Contact information

- **Practice address:** 200 FERRIS DR, VFS 202, BIG RAPIDS, MI 49307-2740
- **Practice address phone:** (231) 591-2260
- **Mailing address:** 200 FERRIS DR, VFS 202, BIG RAPIDS, MI 49307-2740
- **Mailing address phone:** (231) 591-2260

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 9436 | MI | Yes |

## Other

- **Enumeration date:** 10/03/2006
- **Last updated:** 08/22/2020