# PLEV SAG, PLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Aspen Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891103040
- **Authorized official:** JASON BERTOLLINI (PRS)
- **Authorized official phone:** (866) 273-8204

## Contact information

- **Practice address:** 2685 TITTABAWASSEE RD, SAGINAW, MI 48604-8217
- **Practice address phone:** (989) 755-6600
- **Practice address fax:** (989) 790-3749
- **Mailing address:** PO BOX 3189, SYRACUSE, NY 13220-3189
- **Mailing address phone:** (866) 273-8204
- **Mailing address fax:** (866) 803-4943

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 13084 | MI | Yes |

## Other

- **Enumeration date:** 07/31/2014
- **Last updated:** 07/31/2014