# C V VANNESTE DDS PC

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

## Provider details

- **NPI number:** 1598972416
- **Authorized official:** DR. CHRISTOPHER VICTOR VANNESTE DDS (PRESIDENT)
- **Authorized official phone:** (586) 465-4488

## Contact information

- **Practice address:** 37211 HARPER AVE, SUITE 1A, CLINTON TOWNSHIP, MI 48036-3074
- **Practice address phone:** (586) 465-4488
- **Practice address fax:** (586) 465-7854
- **Mailing address:** 37211 HARPER AVE, SUITE 1A, CLINTON TOWNSHIP, MI 48036-3074
- **Mailing address phone:** (586) 465-4488
- **Mailing address fax:** (586) 465-7854

## Taxonomy

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

## Other

- **Enumeration date:** 05/17/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4040480 | — | MI |