# FLAT RRIVER FAMILY DENTISTRY PLLC

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

## Provider details

- **NPI number:** 1235375296
- **Authorized official:** DR. KIRK E FABER DDS (CHAIR PERSON)
- **Authorized official phone:** (616) 754-3511

## Contact information

- **Practice address:** 400 W OAK ST, GREENVILLE, MI 48838-2276
- **Practice address phone:** (616) 754-3511
- **Mailing address:** 124 W. CASS ST, GREENVILLE, MI 48838
- **Mailing address phone:** (616) 754-3511
- **Mailing address fax:** (606) 754-2222

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 10419 | MI | Yes |
| 1223G0001X | General Practice Dentistry | 2901010419 | MI | — |

## Other

- **Enumeration date:** 12/22/2008
- **Last updated:** 01/07/2009