# CHARLEVOIX FAMILY DENTISTRY PLC

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

## Provider details

- **NPI number:** 1417066077
- **Authorized official:** DR. GLENN GILBERT PARAMO DDS (OWNER DENTIST)
- **Authorized official phone:** (231) 547-1100

## Contact information

- **Practice address:** 205 FERRY AVE, CHARLEVOIX, MI 49720
- **Practice address phone:** (231) 547-1100
- **Practice address fax:** (231) 237-0170
- **Mailing address:** 205 FERRY AVE, CHARLEVOIX, MI 49720
- **Mailing address phone:** (231) 547-1100
- **Mailing address fax:** (231) 237-0170

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 2901015752 | MI | Yes |

## Other

- **Enumeration date:** 08/29/2006
- **Last updated:** 08/22/2020