# MILLINGTON DENTAL PC

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

## Provider details

- **NPI number:** 1942475157
- **Authorized official:** DR. JOSEPH ANTHONY VELLA (DENTIST OWNER)
- **Authorized official phone:** (989) 871-3291

## Contact information

- **Practice address:** 4696 EAST MAIN, MILLINGTON, MI 48746
- **Practice address phone:** (989) 871-3291
- **Practice address fax:** (989) 871-4583
- **Mailing address:** 4696 EAST MAIN, MILLINGTON, MI 48746
- **Mailing address phone:** (989) 871-3291
- **Mailing address fax:** (989) 871-4583

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 04/29/2008
- **Last updated:** 04/29/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3252182 TYPE12 | — | MI |