# DENNIS L. DUFFIELD, D.D.S.

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

## Provider details

- **NPI number:** 1447568480
- **Authorized official:** DR. DENNIS L DUFFIELD D.D.S. (DENTIST)
- **Authorized official phone:** (269) 327-4459

## Contact information

- **Practice address:** 6121 S. WESTNEDGE AVE., PORTAGE, MI 49002-2882
- **Practice address phone:** (269) 327-4459
- **Practice address fax:** (269) 327-3019
- **Mailing address:** 6121 S WESTNEDGE AVE, PORTAGE, MI 49002-2882
- **Mailing address phone:** (269) 327-4459
- **Mailing address fax:** (269) 327-3019

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 385H00000X | Respite Care | 2108226 | MI | Yes |

## Other

- **Enumeration date:** 09/23/2010
- **Last updated:** 09/23/2010