# MIKE FLEWELLING DDS PLC

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

## Provider details

- **NPI number:** 1457772261
- **Authorized official:** DR. MICHAEL FLEWELLING DDS (OWNER)
- **Authorized official phone:** (269) 683-4180

## Contact information

- **Practice address:** 24 N SAINT JOSEPH AVE, SUITE E-2, NILES, MI 49120-2263
- **Practice address phone:** (269) 683-4180
- **Mailing address:** 24 N SAINT JOSEPH AVE, SUITE E-2, NILES, MI 49120-2263
- **Mailing address phone:** (269) 683-4180

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 2901020888 | MI | Yes |

## Other

- **Enumeration date:** 12/20/2013
- **Last updated:** 12/20/2013
