# OCCHIETTI SELDEN DENTAL PC

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

## Provider details

- **NPI number:** 1760528475
- **Authorized official:** DR. ANTHONY JOSEPH OCCHIETTI DDS (DENTIST)
- **Authorized official phone:** (906) 774-3032

## Contact information

- **Practice address:** 225 KENT STREET, IRON MOUNTAIN, MI 49801
- **Practice address phone:** (906) 774-3032
- **Practice address fax:** (906) 774-4018
- **Mailing address:** 225 KENT STREET, PO BOX 488, IRON MOUNTAIN, MI 49801
- **Mailing address phone:** (906) 774-3032
- **Mailing address fax:** (906) 774-4018

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 015830 | MI | Yes |

## Other

- **Enumeration date:** 01/29/2007
- **Last updated:** 10/15/2007