# JOHN P. MARCONNIT D.D.S., P.C.

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

## Provider details

- **NPI number:** 1841315090
- **Authorized official:** DR. JOHN P MARCONNIT D.D.S. (PRESIDENT)
- **Authorized official phone:** (989) 786-2104

## Contact information

- **Practice address:** 3051 BAY STREET, LEWISTON, MI 49756-0170
- **Practice address phone:** (989) 786-2104
- **Practice address fax:** (989) 786-4163
- **Mailing address:** PO BOX 170, LEWISTON, MI 49756-0170
- **Mailing address phone:** (989) 786-2104
- **Mailing address fax:** (989) 786-4163

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 292200000X | Dental Laboratory | 13005 | MI | — |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | Yes |

## Other

- **Enumeration date:** 03/20/2007
- **Last updated:** 09/11/2025