# NATHANIEL P MUTCH DDS, PLLC

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

## Provider details

- **NPI number:** 1861139214
- **Authorized official:** NATHANIEL P MUTCH DDS (PRESIDENT)
- **Authorized official phone:** (810) 664-4542

## Contact information

- **Practice address:** 381 N SAGINAW STREET, LAPEER, MI 48446
- **Practice address phone:** (810) 664-4542
- **Mailing address:** 381 N SAGINAW STREET, LAPEER, MI 48446
- **Mailing address phone:** (810) 664-4542

## Taxonomy

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

## Other

- **Enumeration date:** 05/17/2022
- **Last updated:** 05/17/2022