# MAIN STREET DENTISTRY, PC

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

## Provider details

- **NPI number:** 1316206113
- **Authorized official:** DR. KEYNA LEE BEHNAN DDS (PRESIDENT)
- **Authorized official phone:** (810) 387-4746

## Contact information

- **Practice address:** 210 S MAIN ST, YALE, MI 48097-3319
- **Practice address phone:** (810) 387-4746
- **Mailing address:** 210 S MAIN ST, YALE, MI 48097-3319
- **Mailing address phone:** (810) 387-4746

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 2901019511 | MI | Yes |
| 261QD0000X | Dental Clinic/Center | 2901019511 | MI | — |

## Other

- **Enumeration date:** 05/14/2012
- **Last updated:** 08/03/2012