# NICOLE D TEIFER DDS PLLC

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

## Provider details

- **NPI number:** 1104292713
- **Authorized official:** NICOLE TEIFER DDS MSD (OWNER)
- **Authorized official phone:** (734) 454-9200

## Contact information

- **Practice address:** 44633 JOY RD, STE 300, CANTON, MI 48187-1730
- **Practice address phone:** (734) 454-9200
- **Mailing address:** 44633 JOY RD, STE 300, CANTON, MI 48187-1730
- **Mailing address phone:** (734) 454-9200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry | — | NULL | — |
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry | — | — | — |

## Other

- **Enumeration date:** 08/18/2015
- **Last updated:** 08/18/2015