Organization
DONALD K NANNEY DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD K NANNEY DDS (OWNER/PROVIDER)
(248) 625-5511
Entity
Organization
Contact information
Practice address
5770 S MAIN ST, SUITE A, CLARKSTON, MI 48346-2982
(248) 625-5511
(248) 625-7517
Mailing address
5770 S MAIN ST, SUITE A, CLARKSTON, MI 48346-2982
(248) 625-5511
(248) 625-7517
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10562
MI
Other
Enumeration date
04/15/2008
Last updated
04/15/2008
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