# MARLETTE FAM DENTISTRY PLLC

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

## Provider details

- **NPI number:** 1306373824
- **Authorized official:** MRS. GAIL ANN PANKRATZ RN (CREDENTIAL OFFICER)
- **Authorized official phone:** (989) 269-8401

## Contact information

- **Practice address:** 3149 MAIN ST, MARLETTE, MI 48453-1255
- **Practice address phone:** (989) 635-7541
- **Practice address fax:** (989) 635-2414
- **Mailing address:** 3149 MAIN ST, MARLETTE, MI 48453-1255
- **Mailing address phone:** (989) 635-7541
- **Mailing address fax:** (989) 635-2414

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 2901014174 | MI | Yes |

## Other

- **Enumeration date:** 05/15/2017
- **Last updated:** 07/21/2022