Individual
DR. JEREMY DERIK PARROTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1936 HOLLAND AVENUE, PORT HURON, MI 48060
(810) 987-8310
(810) 987-2692
Mailing address
1936 HOLLAND AVENUE, PORT HURON, MI 48060
(248) 875-7269
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019.027072
IL
122300000X
Dentist
2901020215
MI
122300000X
Dentist
9118
TN
122300000X
Dentist
DEN 03060
RI
1223G0001X
General Practice Dentistry
Primary
2901020215
MI
Other
Enumeration date
07/11/2006
Last updated
04/11/2024
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