# CENTRAL MICHIGAN FAMILY DENTISTRY, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dr. Derrek Henrie
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568109726
- **Authorized official:** DERREK HENRIE DDS (DENTIST)
- **Authorized official phone:** (989) 772-4581

## Contact information

- **Practice address:** 1110 E BROOMFIELD ST, MOUNT PLEASANT, MI 48858-4437
- **Practice address phone:** (989) 772-4581
- **Mailing address:** 1110 E BROOMFIELD ST, MOUNT PLEASANT, MI 48858-4437
- **Mailing address phone:** (989) 772-4581

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/18/2022
- **Last updated:** 05/25/2022