# ACCESS DENTAL-EAST JORDAN, PC

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

## Provider details

- **NPI number:** 1780991976
- **Authorized official:** MS. TRACI L ECKHARDT (OFFICE MANAGER)
- **Authorized official phone:** (231) 536-3307

## Contact information

- **Practice address:** 108 S LAKE ST, EAST JORDAN, MI 49727-9375
- **Practice address phone:** (231) 536-3307
- **Practice address fax:** (231) 536-3323
- **Mailing address:** 108 S LAKE ST, P.O. BOX 538, EAST JORDAN, MI 49727-9375
- **Mailing address phone:** (231) 536-3307
- **Mailing address fax:** (231) 536-3323

## Taxonomy

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

## Other

- **Enumeration date:** 09/09/2010
- **Last updated:** 09/09/2010