# HERITAGE COMFORT DENTAL

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

## Provider details

- **NPI number:** 1487068508
- **Authorized official:** MS. KATINA JACKSON (OFFICE MANAGER)
- **Authorized official phone:** (810) 736-1500

## Contact information

- **Practice address:** 5263 RICHFIELD RD, FLINT, MI 48506-2110
- **Practice address phone:** (810) 736-1500
- **Practice address fax:** (810) 736-1501
- **Mailing address:** 5263 RICHFIELD RD, FLINT, MI 48506-2110
- **Mailing address phone:** (810) 736-1500
- **Mailing address fax:** (810) 736-1501

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 2901020598 | MI | Yes |

## Other

- **Enumeration date:** 06/17/2014
- **Last updated:** 06/17/2014