Organization
DEERHAVEN FAMILY DENTISTRY, P.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN J NIERGARTH (OWNER)
(231) 929-3606
Entity
Organization
Contact information
Practice address
5217 N ROYAL DR, TRAVERSE CITY, MI 49684-6985
(231) 929-3606
(231) 929-0610
Mailing address
5217 N ROYAL DR, TRAVERSE CITY, MI 49684-6985
(231) 929-3606
(231) 929-0610
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14121
MI
Other
Enumeration date
03/13/2007
Last updated
08/22/2020
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