# FERRIS STATE UNIVERSITY

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

## Provider details

- **NPI number:** 1598160483
- **Authorized official:** MS. JAMIE FREITAG RDH (SEALANT COORDINATOR)
- **Authorized official phone:** (231) 591-3130

## Contact information

- **Practice address:** 200 FERRIS DR, BIG RAPIDS, MI 49307-2740
- **Practice address phone:** (231) 591-3130
- **Mailing address:** 200 FERRIS DR, BIG RAPIDS, MI 49307-2740
- **Mailing address phone:** (231) 591-3130

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 2901018836 | MI | Yes |
| 124Q00000X | Dental Hygienist | 2902002544 | MI | — |
| 124Q00000X | Dental Hygienist | 2902004089 | MI | — |
| 124Q00000X | Dental Hygienist | 2902011248 | MI | — |

## Other

- **Enumeration date:** 11/04/2014
- **Last updated:** 11/04/2014