# IONIA DENTAL, PLLC

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

## Provider details

- **NPI number:** 1518470558
- **Authorized official:** DR. KELLY ELIZABETH DOERING DDS (OWNER DENTIST)
- **Authorized official phone:** (616) 558-8210

## Contact information

- **Practice address:** 2264 S STATE RD, IONIA, MI 48846-2149
- **Practice address phone:** (616) 527-6777
- **Mailing address:** PO BOX 510, IONIA, MI 48846-0513

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 2901020643 | MI | Yes |

## Other

- **Enumeration date:** 11/13/2017
- **Last updated:** 11/13/2017