Organization
MID-MICHIGAN DISTRICT HEALTH DEPARTMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MELISSA SELBY (DIRECTOR OF ADMINISTRATIVE SERVICES)
(989) 831-3641
Entity
Organization
Contact information
Practice address
615 N STATE ST, STANTON, MI 48888-9702
(989) 831-5237
(989) 831-3666
Mailing address
615 N STATE ST, STANTON, MI 48888-9702
(989) 831-5237
(989) 831-5522
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
—
—
1223G0001X
General Practice Dentistry
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2901018840
DENTAL
MI
Enumeration date
08/31/2010
Last updated
07/26/2021
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