# MICHIGAN ENDODONTICS PC

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

## Provider details

- **NPI number:** 1861606212
- **Authorized official:** DR. STEVEN E FEGAN DDS (SECRETARY)
- **Authorized official phone:** (586) 573-6860

## Contact information

- **Practice address:** 1982 HOLLAND AVE, PORT HURON, MI 48060
- **Practice address phone:** (810) 985-7300
- **Practice address fax:** (810) 985-7803
- **Mailing address:** 11300 E 13 MILE RD, WARREN, MI 48093
- **Mailing address phone:** (586) 573-6860
- **Mailing address fax:** (586) 573-6308

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | — | — | Yes |

## Other

- **Enumeration date:** 05/09/2007
- **Last updated:** 08/22/2020