# MID MICHIGAN DENTAL CENTER P C

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

## Provider details

- **NPI number:** 1407439540
- **Authorized official:** AYAZ P JAFRI DMD (PRESIDENT)
- **Authorized official phone:** (989) 729-1999

## Contact information

- **Practice address:** 1425 N M 52, OWOSSO, MI 48867-1234
- **Practice address phone:** (989) 729-1999
- **Practice address fax:** (989) 729-9949
- **Mailing address:** 1425 N M 52, OWOSSO, MI 48867-1234
- **Mailing address phone:** (989) 729-1999
- **Mailing address fax:** (989) 729-9949

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |
| 261QD0000X | Dental Clinic/Center | — | — | — |

## Other

- **Enumeration date:** 05/05/2021
- **Last updated:** 05/09/2023