Individual
DR. JIM BELTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
25882 ORCHARD LAKE RD STE 105, FARMINGTON HILLS, MI 48336-1294
(248) 442-6600
(248) 564-0946
Mailing address
1163 BLUEBIRD DR, ROCHESTER HILLS, MI 48307-4696
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901012705
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4545438
—
MI
Enumeration date
10/20/2006
Last updated
12/20/2012
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