# JOHN C. BACARELLA DDS,PC

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

## Provider details

- **NPI number:** 1508136516
- **Authorized official:** DR. JOHN CHARLES BACARELLA D.D.S. (PRESIDENT)
- **Authorized official phone:** (734) 243-0440

## Contact information

- **Practice address:** 1050 N MONROE ST, MONROE, MI 48162-3113
- **Practice address phone:** (734) 243-0440
- **Practice address fax:** (734) 243-5920
- **Mailing address:** 1050 N MONROE ST, MONROE, MI 48162-3113
- **Mailing address phone:** (734) 243-0440
- **Mailing address fax:** (734) 243-5920

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 012448 | MI | Yes |

## Other

- **Enumeration date:** 01/06/2012
- **Last updated:** 01/06/2012