# IONIA FAMILY DENTISTRY

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

## Provider details

- **NPI number:** 1609019439
- **Authorized official:** MRS. TAMI JEAN FENEIS (BUSINESS MANAGER)
- **Authorized official phone:** (616) 527-4930

## Contact information

- **Practice address:** 430 SWARTZ CT, IONIA, MI 48846-2139
- **Practice address phone:** (616) 527-4930
- **Mailing address:** 430 SWARTZ CT, IONIA, MI 48846-2139
- **Mailing address phone:** (616) 527-4930

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 15925 | MI | Yes |

## Other

- **Enumeration date:** 04/09/2009
- **Last updated:** 04/09/2009