# JASON M. CORRADINI D.D.S., PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Jason M. Corradini
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609274539
- **Authorized official:** MRS. MARIA LUCINDA CORRADINI (OFFICE MANAGER)
- **Authorized official phone:** (269) 808-7974

## Contact information

- **Practice address:** 8634 N 32ND ST, RICHLAND, MI 49083-8555
- **Practice address phone:** (269) 629-7156
- **Practice address fax:** (269) 629-3359
- **Mailing address:** 8634 N 32ND ST, RICHLAND, MI 49083-8555
- **Mailing address phone:** (269) 629-7156
- **Mailing address fax:** (269) 629-3359

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | 2901020022 | MI | Yes |

## Other

- **Enumeration date:** 12/09/2014
- **Last updated:** 12/09/2014