# POWELL & YUN DDS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PLLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073671301
- **Authorized official:** DR. MATTHEW SM YUN DDS (PARTNER)
- **Authorized official phone:** (517) 347-0777

## Contact information

- **Practice address:** 4111 OKEMOS ROAD, SUITE 202, OKEMOS, MI 48864
- **Practice address phone:** (517) 347-0777
- **Practice address fax:** (517) 347-8788
- **Mailing address:** 4111 OKEMOS ROAD, SUITE 202, OKEMOS, MI 48864
- **Mailing address phone:** (517) 347-0777
- **Mailing address fax:** (517) 347-8788

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 014798 | MI | — |
| 122300000X | Dentist | 017212 | MI | Yes |

## Other

- **Enumeration date:** 12/06/2006
- **Last updated:** 08/22/2020
