# JEREMY C. DULL DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Monroe Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699001644
- **Authorized official:** DR. JEREMY CHRISTOPHER DULL D.D.S. (DENTIST/OWNER)
- **Authorized official phone:** (734) 241-6550

## Contact information

- **Practice address:** 876 STEWART RD., SUITE D, MONROE, MI 48162
- **Practice address phone:** (734) 241-6550
- **Practice address fax:** (734) 241-0824
- **Mailing address:** 876 STEWART RD., SUITE D, MONROE, MI 48162
- **Mailing address phone:** (734) 241-6550
- **Mailing address fax:** (734) 241-0824

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 2901017992 | MI | Yes |

## Other

- **Enumeration date:** 10/27/2009
- **Last updated:** 10/27/2009
