# NORTHSHORE DENTAL ASSOCIATES PLC

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

## Provider details

- **NPI number:** 1922485457
- **Authorized official:** DR. MICHELLE MATHESON BUCHANAN DDS (OFFICER)
- **Authorized official phone:** (231) 744-6100

## Contact information

- **Practice address:** 1179 WHITEHALL RD, NORTH MUSKEGON, MI 49445-2497
- **Practice address phone:** (231) 744-6100
- **Practice address fax:** (231) 744-6099
- **Mailing address:** 1179 WHITEHALL RD, NORTH MUSKEGON, MI 49445-2497
- **Mailing address phone:** (231) 744-6100
- **Mailing address fax:** (231) 744-6099

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 2901014037 | MI | Yes |

## Other

- **Enumeration date:** 05/05/2015
- **Last updated:** 05/05/2015