# MID MICHIGAN GENERAL DENTISTRY

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

## Provider details

- **NPI number:** 1437172491
- **Authorized official:** DR. KRISTIN MAU DDS (PARTNER)
- **Authorized official phone:** (517) 645-9980

## Contact information

- **Practice address:** 400 S NELSON ST, SUITE B, POTTERVILLE, MI 48876-8774
- **Practice address phone:** (517) 645-9980
- **Practice address fax:** (517) 645-9981
- **Mailing address:** 400 S NELSON ST, SUITE B, POTTERVILLE, MI 48876-8774
- **Mailing address phone:** (517) 645-9980
- **Mailing address fax:** (517) 645-9981

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 2901018615 | MI | Yes |

## Other

- **Enumeration date:** 07/25/2006
- **Last updated:** 08/22/2020