# HASLETT FAMILY DENTISTRY, PC

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

## Provider details

- **NPI number:** 1902634991
- **Authorized official:** JUSTIN R COOK DDS (PRESIDENT)
- **Authorized official phone:** (517) 339-0040

## Contact information

- **Practice address:** 5695 BABBITT ST, HASLETT, MI 48840-8414
- **Practice address phone:** (517) 339-0040
- **Mailing address:** 2277 SCIENCE PKWY STE 3, OKEMOS, MI 48864-2551
- **Mailing address phone:** (517) 349-6669

## Taxonomy

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

## Other

- **Enumeration date:** 07/23/2024
- **Last updated:** 07/23/2024