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Organization

VANITVELT DENTISTRY, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JACOB VANITVELT DMD (GENERAL DENTIST)
(810) 516-6604
Entity
Organization

Contact information

Practice address
6111 S SAGINAW RD, GRAND BLANC, MI 48439-8139
(810) 695-5226
Mailing address
1525 KINGS BRIDGE RD, GRAND BLANC, MI 48439-8723

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
02/24/2026
Last updated
02/24/2026
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